NPI age
20 years
Enumerated 2006-01-04
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D1034404 | CLIA |
| 05 (TX) | 136386304 | |
| 01 (TX) | 8H3095 | BCBS |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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