NPI age
20 years
Enumerated 2005-09-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 00687W | MEDICARE GROUP NUMBER |
| 01 (TX) | 4670934 | AETNA |
| 01 (TX) | 0018LB | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 1732844 |
Solo or small practice. No other active providers share this practice address in NPPES.
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