NPI age
20 years
Enumerated 2005-06-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00108951 | RR MEDICARE # |
| 01 (TX) | 8M7060 | BCBS IND # |
| 05 (TX) | 153813408 |
Solo or small practice. No other active providers share this practice address in NPPES.
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