NPI age
19 years
Enumerated 2007-04-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 191113301 | |
| 01 (TX) | 8B7582 | BLUE CROSS BLUE SHIELD OF TEXAS |
| 01 (TX) | P00471769 | MEDICARE RAILROAD |
Solo or small practice. No other active providers share this practice address in NPPES.
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