NPI age
20 years
Enumerated 2005-07-19
Across 15966 active family medicine providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0803595-02 | CIDC GROUP NUMBER |
| 05 (TX) | 0803595-01 | |
| 01 (TX) | 0803595-03 | EPSDT FACILITY NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 4 individual providers on file at this primary address.
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