NPI age
20 years
Enumerated 2005-07-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8EU779 | BCBS |
| 05 (TX) | 173166303 | |
| 05 (TX) | 1731663001 | |
| 01 | 7276626 | AETNA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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