NPI age
14 years
Enumerated 2011-10-23
Across 1318 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 4884406 | AETNA |
| 05 (NC) | 109309184 | |
| 01 (NC) | 3647331 | UNITED HEALTHCARE |
| 01 (NC) | 1093091084 | VIRGINIA MEDICAID |
| 01 (NC) | 1093091084 | PARTNERS |
| 01 (NC) | 1796X | BCBS |
| 01 (NC) | 268260 | MEDCOST |
| 01 (NC) | 1093091084 | TRICARE |
Part of a multi-provider practice. 423 other active providers share this practice address in NPPES.
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