NPI age
20 years
Enumerated 2006-01-26
Across 883 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CM508 | BCBS |
| 05 (TX) | 124300806 | |
| 01 (TX) | TXB112504 | MEDICARE |
| 01 (TX) | P00898257 | RAILROAD MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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