NPI age
18 years
Enumerated 2008-02-14
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0034MH | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 124955906 | |
| 01 (TX) | 172430401 | MEDICAID BILLING |
Single-site organization. Only one practice location on file.
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