NPI age
19 years
Enumerated 2006-06-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 127155304 | THSTEPS MEDICAID |
| 01 (TX) | 176830600 | US DEPARTMENT OF LABOR / W/C |
| 05 (TX) | 127155301 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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