NPI age
17 years
Enumerated 2008-10-21
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 300666001 | |
| 01 (TX) | TXB144836 | MEDICARE |
| 01 (TX) | 8DZ479 | SOLO BCBS |
| 01 (TX) | P01270716 | RR MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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