NPI age
16 years
Enumerated 2010-04-26
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P02601786 | MCRR |
| 05 (TX) | 287586604 | |
| 01 (TX) | 1L4473 | MEDICARE |
| 01 (TX) | 8CM223 | BCBS OF TX |
| 05 (TX) | PENDING |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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