NPI age
20 years
Enumerated 2006-02-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 133360108 | |
| 01 (TX) | 141841001 | EPSDT |
| 01 (TX) | 4366536 | AETNA |
| 01 (TX) | TIN PLUS SUFFIX 043 | TRICARE |
| 01 (TX) | 127408 | CHIPS |
| 01 (TX) | 752616977066 | TRICARE |
| 01 (TX) | TIN PLUS SUFFIX 001 | TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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