NPI age
19 years
Enumerated 2006-06-22
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 100413460B | |
| 01 (MO) | 143561 | ANTHEM |
| 05 (MO) | 2087666303 | |
| 05 (OK) | 100053530A | |
| 01 | P00116533 | RR MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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