NPI age
17 years
Enumerated 2008-09-17
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 370175701 | |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 75-2616977-129 | TRICARE |
| 01 (TX) | P01877165 | MEDICARE RAIL ROAD |
| 01 (TX) | 8GQ047 | BCBS |
| 01 (TX) | 8GQ046 | BCBS |
| 05 (TX) | 370175702 | |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 75-2616977-028 | TRICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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