NPI age
20 years
Enumerated 2005-10-11
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1952399172 | TRICARE SOUTH |
| 01 (TX) | 8P5516 | BCBS PROV. NO. |
| 05 (TX) | 136652810 |
Part of a multi-provider practice. 63 other active providers share this practice address in NPPES.
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