NPI age
19 years
Enumerated 2006-07-31
Across 100 active preventive medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 529251ZWH7 | MEDICARE PTAN |
| 01 (TX) | 8EE324 | BCBS ID |
| 05 (TX) | 148874414 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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