NPI age
19 years
Enumerated 2006-07-03
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135363310 | |
| 01 (TX) | 00444G | BLUECROSS/BLUESHIELD |
| 01 (TX) | F88238 | COMMERCIAL |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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