NPI age
17 years
Enumerated 2008-07-09
Across 1835 active hospitalist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M0192 | MEDICAL TEXAS LICENSE |
| 01 (TX) | 1053574913 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | JO137404 | DPS |
| 05 (TX) | 285821901 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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