NPI: 1356350193 · WICHITA FALLS, TX 76310 · Family Medicine Physician · NPI assigned 08/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 19 | $141.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 19 | 19 | $141.12 |