NPI age
19 years
Enumerated 2006-08-20
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00462J | MEDICARE PTAN |
| 01 (TX) | 2044695 | AETNA |
| 01 (TX) | 0049DF | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8M1980 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 3342691 | BLUE CROSS BLUE SHIELD HM |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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