NPI age
20 years
Enumerated 2005-07-29
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127996003 | |
| 01 (TX) | G2233 | TX. STATE BD. OF MED EXAM |
| 01 (TX) | 45D0977371 | CLIA |
| 01 (TX) | 8AJ373 | BLUECROSS BLUESHIELD |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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