NPI age
19 years
Enumerated 2006-06-03
Across 1807 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 174532504 | |
| 01 | 8CJ470 | BLUE CROSS BLUE SHIELD OF TEXAS |
| 01 (TX) | TXB105184 | MEDICARE |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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