NPI age
20 years
Enumerated 2005-09-19
Across 309 active internal medicine providers in Texas.
8 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158491401 | |
| 01 (TX) | 8V5492 | BCBS TRINITY |
| 01 (TX) | 8J1480 | BCBS |
| 01 (TX) | 75-2616977007 | TRICARE |
| 05 (TX) | 158491404 | |
| 01 (TX) | 7881495 | AETNA |
| 01 (TX) | 232883303 | UNITED HEALTHCARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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