NPI age
20 years
Enumerated 2005-11-10
Across 1069 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AA594 | BCBS |
| 05 (IN) | 200303760 | |
| 01 (IN) | 000000352845 | ANTHEM BCBS |
| 05 (TX) | 189143401 | |
| 05 (TX) | 189143402 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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