NPI age
8 years
Enumerated 2018-04-05
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | Q00258489 | RR MEDICARE |
| 01 (TX) | T3322 | TX STATE LICENSE |
| 05 (TX) | 429296301 |
Part of a multi-provider practice. 102 other active providers share this practice address in NPPES.
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