NPI age
19 years
Enumerated 2006-06-14
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10773554 | CAQH CREDENTIALING |
| 01 (TX) | 854650 | UNITED HEALTH CARE |
| 01 (TX) | H08CL16101 | BCBS |
| 05 (TX) | 134935910 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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