NPI age
20 years
Enumerated 2005-07-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0057GU | BLUE CROSS |
| 01 (OK) | 100075750A | MEDICAID OKLAHOMA |
| 01 (TX) | 080181554 | RAILROAD MEDICARE |
| 05 (TX) | 126295807 |
Solo or small practice. No other active providers share this practice address in NPPES.
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