NPI age
14 years
Enumerated 2011-10-24
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F1170 | TEXAS MEDICAL BOARD LIC. # |
| 01 (TX) | 778411 | TEXAS BOARD OF NURSING |
| 01 (TX) | K7643 | TEXAS MEDICAL BOARD LIC. # |
Single-site organization. Only one practice location on file.
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