NPI age
20 years
Enumerated 2005-06-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 81V798 | MEDICARE |
| 05 (TX) | 1303869-03 | |
| 05 (TX) | 130386907 | |
| 01 (TX) | TXB153741 | WELLMED PTAN |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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