NPI age
18 years
Enumerated 2007-08-31
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 188733301 | |
| 01 (TX) | M7852 | LICENSE |
| 01 (TX) | 8AN550 | BCBSTX |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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