NPI age
20 years
Enumerated 2005-10-14
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | G55822 | |
| 05 (GA) | 396552621A | |
| 01 (GA) | 52222832-001 | BCBS |
| 05 (GA) | 396552621B | |
| 01 (GA) | P00477554 | RR MEDICARE |
| 01 (GA) | 52222832-002 | BCBS |
Part of a multi-provider practice. 365 other active providers share this practice address in NPPES.
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