NPI age
20 years
Enumerated 2006-03-25
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1050965-02 | |
| 01 (TX) | 86771K | BLUE SHIELD |
| 01 (TX) | 080162295 | RR/MEDICARE |
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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