NPI age
20 years
Enumerated 2006-01-27
Across 12343 active internal medicine providers in Texas.
10 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 942497568 | BLUE SHIELD |
| 01 (CA) | ZZZ38477Z | MEDICARE GROUP ID |
| 01 (CA) | 00G56470 | BLUE CROSS |
| 01 (CA) | 00G56470 | UNITED HEALTHCARE |
| 01 (CA) | 00G56470 | AETNA |
| 01 (CA) | 942497568 | BLUE CROSS |
| 05 (CA) | GR0066340 | |
| 01 (CA) | 00G56470 | BLUE SHIELD |
| 05 (CA) | GR0006345 |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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