NPI age
20 years
Enumerated 2006-04-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1661043-01 | |
| 01 (TX) | 8J0307 | BC/BS |
| 01 (TX) | P00184141 | RR MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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