NPI age
20 years
Enumerated 2006-01-25
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8G4114 | BC/BS PROVIDER NUMBER |
| 05 (TX) | 162091602 | |
| 01 (TX) | 1528038163 | TRICARE SOUTH |
| 01 (TX) | P00157289 | RAILROAD MEDICARE PROV # |
Part of a multi-provider practice. 105 other active providers share this practice address in NPPES.
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