NPI age
20 years
Enumerated 2005-12-08
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1730164153 | |
| 01 (TX) | 0042QC | BCBS GROUP |
| 01 (TX) | 8CS830 | BCBS INDIVIDUAL |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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