NPI age
19 years
Enumerated 2006-08-05
Across 6039 active emergency medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009914112 | |
| 05 (MI) | 491915310 | |
| 01 (AL) | 1639188220 | TRICARE SOUTH |
| 01 (AL) | 515-45665 | BCBS |
| 01 | MH082695 | COMMERCIAL-COMMERCIAL NUMBER |
| 01 | 700H262530 | BLUE CROSS-BLUE CROSS |
| 01 | MH082695 | CHAMPUS-CHAMPUS |
| 05 (AL) | 110789 |
Part of a multi-provider practice. 449 other active providers share this practice address in NPPES.
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