NPI age
19 years
Enumerated 2006-06-15
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0051MB | BCBS |
| 05 (TX) | 040113502 | |
| 01 (TX) | 111751102 | FIRST CARE |
| 01 (TX) | K0287 | STATE LICENSE |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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