NPI age
20 years
Enumerated 2006-05-09
Across 125 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8V1561 | BCBSTX PROVIDER NO |
| 01 | 1811946569 | TRI CARE SOUTH |
| 05 (TX) | 176577804 | |
| 05 (TX) | 176577803 | |
| 01 (TX) | 1811946569 | TRICARE SOUTH |
Part of a multi-provider practice. 183 other active providers share this practice address in NPPES.
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