NPI age
20 years
Enumerated 2005-12-14
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135667709 | |
| 01 (TX) | 1487639258 | TRICARE SOUTH |
| 01 (TX) | 8Z2091 | BCBSTX PROV NO |
| 01 (TX) | 1487639258 | BCBSTX |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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