NPI age
20 years
Enumerated 2005-09-09
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 133831110 | |
| 01 (TX) | 8F24345 | MEDICARE - INDIVIDUAL |
| 01 (TX) | 0A6188 | MEDICARE- GROUP |
Solo or small practice. No other active providers share this practice address in NPPES.
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