NPI age
20 years
Enumerated 2005-06-08
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 178450601 | |
| 01 (TX) | 2631895 | AETNA PROVIDER NUMBER |
| 05 (TX) | 398702601 | |
| 01 (TX) | 8EK529 | BCBS |
| 05 (TX) | 178450602 | |
| 01 (TX) | P01398054 | RAILROAD MEDICARE |
| 01 (TX) | 0098GV | BLUE CROSS PROVIDER NUMBE |
| 05 (TX) | 178450604 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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