NPI age
20 years
Enumerated 2006-05-02
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8G9184 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 090010203 | |
| 01 (TX) | 930123198 | MEDICARE RR PALMETTO |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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