NPI age
20 years
Enumerated 2005-09-20
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 2211482626 | TRICARE SOUTH |
| 01 (GA) | 52025889003 | BCBS |
| 05 (GA) | 688786920C |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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