A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
TX license #K1409taxonomy 207R00000X
Identifiers
Type
Value
Notes
01 (TX)
0020NY
BLUE CROSS BLUE SHIELD
05 (TX)
029416701
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.
Medicare specialties
Internal Medicine
Medical school
Rutgers R W Johnson Medical School (cam/new Bruns/pisc)
Graduation year 1992
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
This provider is listed as a sole proprietor.
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