NPI age
20 years
Enumerated 2006-01-21
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 752946793001 | TRICARE |
| 05 (TX) | 031401506 | |
| 05 (TX) | 031401505 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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