NPI age
19 years
Enumerated 2006-11-07
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 111604802 | |
| 01 (TX) | 8F22613 | MEDICARE PTAN RENDERING NPI |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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