NPI age
20 years
Enumerated 2005-06-22
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 83953F | BCBS PROVIDER # |
| 01 (TX) | E7892 | LICENSE NUMBER |
| 01 (TX) | 122439 | SUPERIOR PCP # |
| 01 (TX) | 82Y568 | BCBS PROVIDER # |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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