NPI age
20 years
Enumerated 2006-02-23
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1548405103 | MEDICARE GROUP NPI |
| 01 (TX) | 8F20486 | MEDICARE INDIVIDUAL PTAN |
| 05 (TX) | 121328204 | |
| 05 (TX) | 121328205 | |
| 01 (TX) | 0A3311 | MEDICARE GROUP PTAN |
| 01 (TX) | 1932174711 | MEDICARE INDIVIDUAL NPI |
| 01 (TX) | 752906860 | TAX ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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