NPI age
19 years
Enumerated 2006-07-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100211400B | |
| 05 (TX) | 125128201 | |
| 05 (NM) | Z5463 | |
| 05 (TX) | 125128205 |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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