NPI age
14 years
Enumerated 2011-08-16
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 295635102 | |
| 01 (TX) | 8DE374 | BCBS |
| 05 (TX) | 295635101 | |
| 01 (TX) | 1619256062 | TRICARE SOUTH |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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