NPI age
19 years
Enumerated 2006-10-23
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00K07N | BSBC PROVIDER ID |
| 01 (TX) | P00447175 | MEDICARE RAILROAD PTAN |
| 01 (TX) | 1932282019 | NPI |
| 01 (TX) | 419857 | WELLCARE |
| 01 (TX) | C16543 | UPIN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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