NPI age
19 years
Enumerated 2006-12-08
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135951509 | |
| 01 (TX) | J2400 | MEDICAL LICENSE |
| 01 (TX) | P01330571 | RRMC PTAN |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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