NPI age
20 years
Enumerated 2005-08-03
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 092608104 | |
| 01 (TX) | 4060478 | AETNA |
| 01 (TX) | 8F1800 | BCBSTX |
| 01 (TX) | 0000067462702 | UNITED HEALTHCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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