NPI age
7 years
Enumerated 2018-06-21
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1O9093 | PTAN |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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