NPI age
19 years
Enumerated 2006-06-01
Across 479 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ND) | 26102 | BCBS |
| 01 (ND) | P00256074 | RR MEDICARE |
| 05 (ND) | 1454276 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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