NPI age
19 years
Enumerated 2006-10-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 185600705 | |
| 01 (TX) | P00787426 | MEDICARE RAILROAD |
| 01 (TX) | 0029PT | BLUE CROSS |
| 01 (TX) | 0080JS | BLUE CROSS |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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