NPI age
20 years
Enumerated 2006-04-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 2Z1716 | HEALTHNET |
| 05 (AZ) | 954140 | |
| 01 (TX) | X0196037 | TEXAS DPS |
| 01 (AZ) | AZ0783160 | BCBS |
| 01 (AZ) | 7039717 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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