NPI age
16 years
Enumerated 2010-04-04
Across 883 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | 8BC409 | BCBS |
| 01 (TX) | 752616977007 | TRICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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