NPI age
20 years
Enumerated 2005-06-27
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1689184-01 | |
| 01 (TX) | P0134213 | DPS |
| 01 (TX) | L8769 | TEXAS LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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