NPI age
20 years
Enumerated 2006-05-25
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0079AE | BCBS GROUP NUMBER |
| 05 (TX) | 091939102 | |
| 05 (TX) | 091939103 |
Single-site organization. Only one practice location on file.
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