NPI age
20 years
Enumerated 2006-05-16
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 2166629 | UNITEDHEALTHCARE |
| 01 (GA) | 52964 | SOUTHCARE |
| 05 (NC) | 5902932 | |
| 01 (NC) | 141TT | BLUE CROSS BLUE SHIELD |
| 01 (NC) | 200501942 | N C MEDICAL BOARD |
| 01 (GA) | 0007335297 | AETNA |
| 01 (GA) | 5275389 | CIGNA |
Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.
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