NPI age
19 years
Enumerated 2007-02-13
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 214542702 | |
| 01 (TX) | 1073655965 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 214542701 | |
| 01 (TX) | P01023537 | MEDICARE RR |
| 01 (TX) | P00894856 | MEDICARE RR |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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