NPI age
20 years
Enumerated 2005-06-16
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158547305 | |
| 01 (TX) | P00815478 | MEDICARE RAILROAD |
| 01 (TX) | 8V8782 | BCBS |
| 05 (TX) | 158547304 | |
| 01 (TX) | 8CL445 | BCBSTX |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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