NPI age
19 years
Enumerated 2006-09-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105087403 | |
| 01 | P00449161 | MEDICARE RAILROAD |
| 01 (TX) | 8U5907 | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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