NPI age
19 years
Enumerated 2006-09-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200100710A | |
| 05 (TX) | 135452409 | |
| 05 (NM) | 49759370 | |
| 05 (TX) | 135452411 |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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