NPI age
19 years
Enumerated 2006-06-18
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165546601 | |
| 05 (AR) | 154345002 | |
| 01 (AR) | 9R062 | BLUE CROSS |
| 01 (TX) | 0050LE | BLUE CROSS |
| 01 (TX) | DC2163 | RAILROAD MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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