NPI age
19 years
Enumerated 2006-07-08
Across 15 active preventive medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127548947 | |
| 01 (KY) | P01209908 | RAILROAD MEDICARE |
| 01 (TX) | 8C1236 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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