NPI age
20 years
Enumerated 2005-11-22
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 173061601 | MCD TPI - GROUP |
| 01 (TX) | 10033291 | AMERIGROUP PIN |
| 01 (TX) | 00813Y | MEDICARE GROUP PIN |
| 01 (TX) | 0012M5 | BCBSTX GROUP PIN |
| 01 (TX) | 173061602 | MCD THSTEPS PIN |
| 01 (TX) | 8S3790 | BCBSTX INDIVIDUAL PIN |
| 05 (TX) | 171030302 | |
| 01 (TX) | DD5578 | MEDICARE RR GROUP PIN |
| 01 (TX) | 5249663 | CIGNA PIN |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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