NPI age
19 years
Enumerated 2006-10-06
Across 479 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8DJ982 | BCBS |
| 01 (TX) | 752616977042 | TRICARE |
| 05 (MO) | 204446603 | |
| 05 (TX) | 311795401 |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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