NPI age
19 years
Enumerated 2006-10-13
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 084483901 | |
| 01 (TX) | 0097EB | BC/BS |
| 05 (TX) | 123629105 | |
| 05 (TX) | 084483902 |
Single-site organization. Only one practice location on file.
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