NPI age
19 years
Enumerated 2006-11-28
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 216649801 | |
| 05 (TX) | 216649802 | |
| 01 (TX) | Y29190 | UPIN NUMBER |
| 01 (TX) | L5014 | TX LICENSE NUMBER |
| 01 (TX) | 8CJ355 | BLUECROSS BLUESHIELD |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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