NPI age
20 years
Enumerated 2005-06-24
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 140848100 | FIRST CARE PROVIDER NUMBE |
| 05 (TX) | 128322815 | |
| 01 (TX) | 8A3054 | BCBS PROVIDER NUMBER |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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