NPI age
19 years
Enumerated 2006-07-28
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | EPSD49990 | |
| 01 (TX) | 126632205 | MEDICAID EPSDT PROV. NUMB |
| 01 (TX) | MIXED | COMMERCIAL INS. PROV NO. |
| 05 (TX) | 126632202 | |
| 01 (TX) | 5805616 | AETA PIN |
| 01 (TX) | A002 | TRICARE PIN |
| 01 (TX) | A001 | CHAMPUS |
| 01 (TX) | 116761 | SUPERIOR HEALTH PIN |
| 01 (TX) | 0021DF | BLUE CROSS PROVIDER NUMBE |
| 01 (TX) | 080145415 | MEDICARE RAILROAD PIN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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