NPI age
14 years
Enumerated 2012-05-21
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 418733YMG2 | MEDICARE |
| 01 | P01594333 | RR MEDICARE |
| 05 (TX) | 192390601 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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