NPI age
20 years
Enumerated 2005-10-11
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 00159U | BCBS |
| 01 (TX) | 157272902 | EPSDT |
| 05 (TX) | 157272901 |
Multi-provider organization. 1 individual provider on file at this primary address.
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