NPI age
19 years
Enumerated 2006-06-04
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 0811551 | AETNA |
| 01 | 10017569 | AMERIGROUP |
| 05 (TX) | 140120008 | |
| 01 (TX) | 000000EE59 | BLUE CROSS BLUE SHIELD |
| 01 | 192108092836 | HUMANA |
| 01 | 751590503 | FEDERAL TAX ID |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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