NPI age
9 years
Enumerated 2016-06-08
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 400288301 | |
| 01 (TX) | 8LE902 | BCBS |
| 01 (TX) | 817012 | MEDICARE |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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