NPI age
19 years
Enumerated 2006-11-22
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 85560B | BCBS |
| 05 (TX) | 081218201 | |
| 05 (TX) | Z00082AX8 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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