NPI age
10 years
Enumerated 2015-06-16
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 100095277 | |
| 01 (TX) | 678385 | MEDICARE |
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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