NPI age
20 years
Enumerated 2005-11-08
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1755647-13 | |
| 05 (TX) | 175564701 | |
| 01 (TX) | 8AQ504 | BLUE CROSS |
| 05 (TX) | 2001075-01 |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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