NPI age
20 years
Enumerated 2005-09-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 112004004 | |
| 01 (TX) | 8AQ213 | BCBSTX |
| 01 (TX) | P00454187 | MEDICARE RAILROAD |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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