NPI age
18 years
Enumerated 2008-01-08
Across 1807 active internal medicine providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | G57397 | UPIN NUMBER |
| 01 (TX) | K9386 | MEDICAL LICENSE |
| 01 (TX) | 0066QV | BCBS NUMBER |
| 01 (TX) | DF5955 | RAILROAD MEDICARE |
| 05 (TX) | 160273201 | |
| 01 (TX) | USE EIN | CHAMPUS/TRICARE PGBA |
Multi-provider organization. 3 individual providers on file at this primary address.
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