NPI age
21 years
Enumerated 2005-05-24
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8H3101 | BLUE CROSS |
| 01 (TX) | 2358921 | AETNA |
| 01 (TX) | P00004526 | MEDICARE RAILROAD |
| 01 (TX) | 04443 | CIGNA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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