NPI age
13 years
Enumerated 2012-06-27
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GM862 | BCBS |
| 01 (TX) | P01812204 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-2616977-129 | TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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