NPI age
19 years
Enumerated 2006-08-13
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | 4314981 | MEDICARE PTAN |
| 05 (KY) | 7100151960 | |
| 05 (OH) | 3119039 |
Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.
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