NPI age
19 years
Enumerated 2006-07-12
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0047EP | BCBS ID |
| 05 (TX) | 130927002 | |
| 05 (TX) | 130927003 | |
| 01 (TX) | 8J0360 | BCBS |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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