NPI age
19 years
Enumerated 2006-06-04
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200453380 | |
| 01 (TX) | 75-2966610 | FEIN |
| 05 (TX) | 182868301 | |
| 05 (TX) | 156122701 | |
| 05 (TX) | 156122702 |
Part of a multi-provider practice. 143 other active providers share this practice address in NPPES.
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