NPI age
20 years
Enumerated 2006-01-26
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 136917 | SUPERIOR/CHIPS |
| 05 (TX) | 176818602 | |
| 01 (TX) | 8S3313 | BCBS |
| 01 (TX) | P01303109 | RAIL ROAD |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 01 (TX) | TAX ID AND 012 | TRICARE |
| 01 (TX) | 7149558 | AENTA |
| 01 (TX) | 8ED744 | BCBS |
| 05 (TX) | 176818601 | |
| 05 (TX) | 176818603 |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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