NPI age
19 years
Enumerated 2006-06-15
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 099146504 | |
| 01 (TX) | 8BR065 | BCBS |
| 05 (TX) | 0991465-03 | |
| 01 (TX) | 81830S | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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