NPI age
18 years
Enumerated 2007-11-07
Across 237 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB116628 | WELLMED MEDICARE |
| 01 (TX) | 2100976-03 | WELLMED MEDICAID |
| 01 (TX) | TXB158260 | MEDICARE PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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