NPI age
13 years
Enumerated 2013-03-20
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | 048827 | CDS |
| 01 (LA) | 207243 | STATE LICENSE |
| 05 (LA) | 2329847 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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