NPI age
20 years
Enumerated 2006-03-08
Across 114 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0084575 | BLUE CROSS BLUE LINK # |
| 05 (TX) | 1702987-01 | |
| 01 (TX) | 8K7450 | BLUE CROSS PROVIDER # |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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