NPI age
20 years
Enumerated 2006-01-25
Across 237 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 170661602 | |
| 01 (TX) | 00377R | BLUE CROSS BLUE SHIELD |
| 01 (TX) | DD6278 | MEDICARE RAILROAD |
Multi-provider organization. 1 individual provider on file at this primary address.
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