NPI age
19 years
Enumerated 2007-03-21
Across 15966 active family medicine providers in Texas.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0056MD | BCBS |
| 05 (TX) | 170792901 | |
| 05 (TX) | 170792902 | |
| 01 (LA) | 1647870 | UNISYS LOUISIANA MEDICAID |
Multi-provider organization. 13 individual providers on file at this primary address.
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