NPI age
19 years
Enumerated 2006-06-13
Across 100 active preventive medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165949204 | |
| 01 | 8BB450 | BCBS |
| 01 (TX) | 6023560 | CIGNA |
| 01 (TX) | 7527630 | AETNA |
| 01 (TX) | 8K6279 | BCBS |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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