NPI age
17 years
Enumerated 2008-12-03
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 1358347 | |
| 05 (LA) | 1358347 |
Part of a multi-provider practice. 179 other active providers share this practice address in NPPES.
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