NPI age
20 years
Enumerated 2005-08-16
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | K5842 | |
| 01 (TX) | 82G884 | BCBS |
| 01 (TX) | 80849Z | HMO BLUE |
| 01 (NM) | A110 | TRIWEST |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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