NPI age
20 years
Enumerated 2006-05-05
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 82T244 | BCBSTX PROVIDER NUMB |
| 05 (TX) | 083168701 | |
| 05 (TX) | 118001001 | |
| 01 (TX) | V0064386 | DPS NUMBER |
| 01 (TX) | H0370 | MEDICAL LICENSE |
| 01 (TX) | 45D0505324 | CLIA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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