NPI age
19 years
Enumerated 2006-06-14
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0010LB | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 136722922 | |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 75-0818167-048 | TRICARE |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 8DU769 | BCBS |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 8DU784 | BCBS |
| 05 (TX) | 136722912 | |
| 01 (TX) | 75-2616977-028 | TRICARE |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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