NPI age
20 years
Enumerated 2005-07-21
Across 312 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 76-0138230 | FIN |
| 01 (TX) | 080008150 | RAILROAD MEDICARE |
| 01 (TX) | 00G793 | BLUECROSS BLUE SHIELD |
| 05 (TX) | 136735104 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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