NPI age
20 years
Enumerated 2006-03-15
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 117541603 | |
| 01 (TX) | 847567 | BCBS |
| 01 (TX) | 080087204 | RAILROAD MEDICARE PIN |
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
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