NPI age
20 years
Enumerated 2005-09-06
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 179197203 | |
| 01 (TX) | 1609860618 | BCBSTX |
| 05 (TX) | 179197202 | |
| 01 (TX) | 8V1564 | BCBS TX |
| 01 (TX) | 1609860618 | TRICARE SOUTH |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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