NPI age
19 years
Enumerated 2006-07-18
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 184374004 | |
| 01 (TX) | P00947183 | MEDICARE RR |
| 01 | TXB110289 | MEDICARE PTAN |
| 05 (TX) | 094010801 | |
| 01 (TX) | 1003834904 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 184374001 |
Part of a multi-provider practice. 591 other active providers share this practice address in NPPES.
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