NPI age
20 years
Enumerated 2006-02-09
Across 2087 active general practice providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WY) | 1780657791 | |
| 05 (WY) | 123163400 | |
| 01 (WY) | 314473 | BCWY |
| 01 (WY) | 605960009 | USDLAB |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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