NPI age
18 years
Enumerated 2007-06-19
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 186877002 | |
| 01 (TX) | 82109Y | BLUE CROSS |
| 01 (TX) | M6708 | LICENSE NUMBER |
Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.
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