NPI age
19 years
Enumerated 2006-07-31
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 080107840 | RR MEDICARE |
| 01 | A009 | CHAMPUS |
| 05 (TX) | 128968804 | |
| 01 | 117812 | CHIPS |
| 01 (TX) | 806059 | BCBS |
| 01 (AR) | 97277 | BCBS |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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