NPI age
19 years
Enumerated 2007-04-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 11818883 | CAQH |
| 01 (TX) | 8F0993 | BC/BS |
| 05 (TX) | 202747601 | |
| 01 (TX) | 8AW040 | BC/BS |
| 01 (TX) | M39952 | LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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