NPI age
19 years
Enumerated 2006-11-20
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1700950748 | TRICARE SOUTH |
| 05 (TX) | 189176402 | |
| 01 (TX) | 8S9237 | BCBSTX PROVIDER NO |
| 05 (TX) | 189176401 |
Part of a multi-provider practice. 995 other active providers share this practice address in NPPES.
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