NPI age
19 years
Enumerated 2006-09-14
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 6127379 | CIGNA PROVIDER NUMBER |
| 05 (TX) | 124383405 | |
| 01 (TX) | 8AJ946 | BLUE CROSS PROVIDER # |
| 01 (TX) | 0029EN | BLUE CROSS NUMBER |
| 01 (TX) | 80-0881204 | TAX ID |
| 01 | 4299864 | AETNA PROVIDER NUMBER |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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