NPI age
20 years
Enumerated 2006-02-16
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8M8138 | BCBS |
| 05 (TX) | 177316002 | |
| 05 (TX) | 177316001 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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