NPI age
20 years
Enumerated 2005-09-09
Across 15966 active family medicine providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 109485601 | |
| 01 (TX) | 00K51Q | MEDICARE |
| 01 (TX) | 00K51Q | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 4 individual providers on file at this primary address.
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