NPI age
17 years
Enumerated 2008-06-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | H08ZX78301 | BCBS |
| 05 (TX) | 2205114-01 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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