NPI age
19 years
Enumerated 2006-09-01
Across 312 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F0084804 | DPS |
| 05 (TX) | 135135509 | |
| 01 (TX) | H1506 | LICENSE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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