NPI age
14 years
Enumerated 2011-06-15
Across 15966 active family medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GH420 | BCBS TX |
| 05 (TX) | 355984103 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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