NPI age
19 years
Enumerated 2006-11-03
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8DL155 | BCBS |
| 01 (TX) | P01263455 | RAILROAD MEDICARE |
| 05 (TX) | 183500105 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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