NPI age
20 years
Enumerated 2005-06-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00J13Z | BLUE CROSS |
| 01 (TX) | 133458308 | THSTEP - MEDICAID |
| 05 (TX) | 160899401 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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