NPI age
20 years
Enumerated 2006-02-07
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10017829 | AMERIGROUP |
| 01 (TX) | 0090EV | BCBS OF TX PPO |
| 05 (TX) | 141586101 | |
| 05 (TX) | 136964601 | |
| 01 (TX) | 8A5180A | BCBS OF TX |
| 01 (TX) | 8567M0 | MEDICARE INDIVIDUAL PTAN |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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