NPI age
20 years
Enumerated 2005-12-14
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 139915634 | INDIVIDUAL CHSCN |
| 01 (TX) | 8GK771 | BCBS - IVANA |
| 05 (TX) | 139915625 | |
| 05 (TX) | 139915633 | |
| 05 (TX) | 139915635 | |
| 01 (TX) | 8U5314 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | P00258990 | RAILROAD MEDICARE |
| 01 (TX) | 319701ZW6Z | MEDICARE -IVANA |
| 01 (TX) | P01802108 | RR MEDICARE- IVANA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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