NPI age
20 years
Enumerated 2006-05-23
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 341190204 | |
| 05 (ID) | 805764900 | |
| 01 (TX) | 341190205 | MEDICAID-CSHCN |
Part of a multi-provider practice. 237 other active providers share this practice address in NPPES.
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