NPI age
19 years
Enumerated 2006-08-16
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 123277903 | |
| 01 | 118076 | CHIPS |
| 01 | 080022253 | MEDICARE RR |
| 01 (AR) | 97276 | BCBS |
| 01 (TX) | 806052 | BCBS |
| 01 | A004 | CHAMPUS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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