NPI age
19 years
Enumerated 2006-12-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0022CU | BCBS PROVIDER # |
| 05 (TX) | 111830901 | |
| 01 (TX) | 5966715 | AETNA PROVIDER # |
| 01 (TX) | 8383088001 | CIGNA PROVIDER # |
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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