NPI age
17 years
Enumerated 2009-03-02
Across 935 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 328228703 | |
| 05 (TX) | 328228701 | |
| 05 (TX) | 328228702 | |
| 05 (TX) | 202569405 | |
| 01 (TX) | 8DY165 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8EE300 | BLUE CROSS BLUE SHIELD |
| 05 (NY) | 03155117 |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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