NPI age
17 years
Enumerated 2009-04-29
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 219015902 | |
| 01 (TX) | 8CN580 | BCBS |
| 05 (TX) | 219015901 | |
| 05 (TX) | 219015903 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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