NPI age
20 years
Enumerated 2006-03-14
Across 251 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 047591502 | |
| 05 (TX) | 047591506 | |
| 05 (TX) | 047591507 | |
| 05 (TX) | 047591505 | |
| 01 (TX) | 610119705 BROOKS | US DEPT OF LABOR |
| 01 (TX) | 0061LP | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 047591504 | |
| 05 (TX) | 047591503 | |
| 05 (TX) | 047591508 | |
| 01 (TX) | 610119701 | US DEPT OF LABOR |
| 01 (TX) | P00976676 | MEDICARE RR |
| 01 (TX) | P01078363 | RR MEDICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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