NPI age
20 years
Enumerated 2005-06-21
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 8K190 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 100140108 | FIRST CARE |
| 05 (TX) | 138958719 | |
| 01 | P00103373 | RAILROAD MEDICARE |
| 05 (TX) | 080960002 |
Solo or small practice. No other active providers share this practice address in NPPES.
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