NPI age
20 years
Enumerated 2006-02-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 142609001 | EPSDT |
| 05 (TX) | 165883302 | |
| 05 (TX) | 165883301 | |
| 01 (TX) | DO08J1057 | BCBS |
| 01 (TX) | TIN PLUS 022 | TRICARE |
| 01 (TX) | 75-2616977-121 | TRICARE |
| 01 (TX) | 123867 | CHIPS |
| 01 (TX) | 752616977011 | TRICARE CHAMPUS |
| 01 (TX) | P00227183 | MEDICARE RAILROAD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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