NPI age
12 years
Enumerated 2013-06-05
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 8FS771 | BCBS |
| 01 (TX) | 476950YN3X | MEDICARE |
| 01 (TX) | 75-2616977-113 | TRICARE |
| 01 (TX) | 75-2771569-008 | TRICARE |
| 01 (TX) | P01844883 | RAIL ROAD MEDICARE |
| 05 (TX) | 355357003 | |
| 01 (TX) | P01617616 | RAIL ROAD MEDICARE |
| 05 (TX) | 355357002 | |
| 01 (TX) | 8FS774 | BCBS |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 8GW409 | BCBS |
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | 75-2616977-066 | TRICARE |
| 01 (TX) | P01618252 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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