NPI age
20 years
Enumerated 2005-06-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 612487 | AETNA |
| 01 (TX) | 2967769003 | CIGNA |
| 01 (TX) | 86690G | BLLUE CROSS/ BLUE SHIELD |
| 05 (TX) | 115333001 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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