NPI age
20 years
Enumerated 2005-06-13
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0815318-01 | |
| 05 (TX) | 1333676-05 | |
| 05 (TX) | 1394272-12 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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