NPI age
19 years
Enumerated 2006-06-24
Across 2087 active general practice providers in Texas.
1 secondary location on file with NPPES.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 205230001 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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