NPI age
19 years
Enumerated 2006-06-02
Across 6039 active emergency medicine providers in Texas.
9 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1155764 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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