NPI age
12 years
Enumerated 2013-07-01
Across 15966 active family medicine providers in Texas.
9 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 05784011 | |
| 05 (WI) | 100088706 | |
| 01 (TX) | P0246294 | MEDICARE RAIL ROAD |
| 05 (LA) | 2433504 | |
| 05 (TX) | 410493701 | |
| 01 (TX) | 8MK865 | BCBS |
| 01 (TX) | 1A1371 | MEDICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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