NPI age
18 years
Enumerated 2007-11-26
Across 883 active internal medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1003097593 | |
| 01 (NC) | NCX167A | MEDICARE |
| 05 (FL) | 129791500 | |
| 01 (NC) | 19PHV | BCBS OF NC |
Part of a multi-provider practice. 118 other active providers share this practice address in NPPES.
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