NPI age
20 years
Enumerated 2005-12-06
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 161686405 | |
| 05 (TX) | 161686407 | |
| 05 (TX) | 161686408 | |
| 05 (TX) | 161686412 | |
| 05 (TX) | 161686409 | |
| 05 (TX) | 161686401 | |
| 05 (TX) | 161686411 | |
| 05 (TX) | 161686403 | |
| 05 (TX) | 161686404 | |
| 01 (TX) | 84Y442 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 161686402 | |
| 05 (TX) | 161686406 | |
| 05 (TX) | 161686410 |
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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