NPI age
19 years
Enumerated 2006-08-14
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 136857310 | |
| 01 (TX) | 75-2616977-008 | TRICARE |
| 01 (TX) | 8GC693 | BCBS |
| 01 (TX) | 100009988 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-2616977-125 | TRICARE |
| 05 (TX) | 136857314 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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