NPI age
19 years
Enumerated 2006-10-18
Across 6039 active emergency medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8KN294 | BCBS |
| 05 (OK) | 200033550A | |
| 01 | 14148509 | CAQH |
| 01 (TX) | 81120S | BLUE CROSS & BLUE SHIELD |
| 05 (TX) | 104571802 | |
| 05 (TX) | 104571805 | |
| 05 (NM) | 41289056 | |
| 01 (TX) | 774417 | MEDICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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