NPI age
16 years
Enumerated 2010-04-23
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 293910002 | |
| 01 (TX) | N7817 | TX LICENSE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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