NPI age
17 years
Enumerated 2009-05-04
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 8DG076 | BCBS |
| 05 (AL) | 297754801 | |
| 01 (AL) | 1992939193 | TRICARE SOUTH |
Part of a multi-provider practice. 60 other active providers share this practice address in NPPES.
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