NPI age
20 years
Enumerated 2005-12-16
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 131243108 | |
| 05 (TX) | 131243114 | |
| 05 (TX) | 131243107 | |
| 01 (TX) | 1679559181 | TRICARE SOUTH |
| 01 (TX) | 8F9285 | BCBSTX PROV NO |
Solo or small practice. No other active providers share this practice address in NPPES.
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