NPI age
19 years
Enumerated 2007-05-23
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154040301 | |
| 01 (TX) | 0022JL | BLUE CROSS BLUE SHIELD TX |
| 05 (TX) | 154041101 | |
| 01 (TX) | 1710978572 | NPI GROUP |
| 01 (TX) | 5916252 | AETNA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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