NPI age
20 years
Enumerated 2006-05-20
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00W540 | MEDICARE PROVIDER # |
| 05 (TX) | 1839607-01 | |
| 01 (TX) | 0141PU | BCBS GROUP PROVIDER # |
| 01 (TX) | DF6603 | RAILROAD MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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