NPI age
13 years
Enumerated 2012-06-08
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-029 | TRICARE |
| 01 (TX) | 8FE338 | BCBS |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 05 (TX) | 349308201 |
Solo or small practice. No other active providers share this practice address in NPPES.
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