NPI age
— years
Enumerated 2026-01-26
Across 17 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 018123 | LICENSE |
| 01 (TX) | 741714 | MEDICARE |
| 05 (TX) | 001029992 |
Single-site organization. Only one practice location on file.
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