NPI age
18 years
Enumerated 2007-06-12
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8X6783 | BCBSTX |
| 05 (TX) | 189146701 | |
| 01 (TX) | 1073717476 | TRICARE |
| 01 (TX) | 1073717476 | BCBS TX |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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