NPI age
20 years
Enumerated 2005-10-05
Across 237 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1L5224 | MEDICARE |
| 01 (TX) | P02601758 | MCRR |
| 05 (IA) | 2196766 | |
| 05 (TX) | 332933605 | |
| 05 (TX) | 332933601 |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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