NPI age
20 years
Enumerated 2006-05-23
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P02601747 | MCRR |
| 05 (TX) | 167840106 | |
| 05 (TX) | 167840108 | |
| 05 (TX) | 130864507 | |
| 01 (TX) | 1L5691 | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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