NPI age
20 years
Enumerated 2006-02-15
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164476702 | |
| 01 (TX) | 8K2772 | BC/BS |
| 01 (TX) | 164476701 | MEDICAID FOR DALLAS COUNTY |
| 01 (TX) | 8B5494 | MEDICARE FOR DALLAS COUNTY |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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