NPI age
19 years
Enumerated 2007-03-23
Across 1318 active internal medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | 90815000040 | QUAL CHOICE |
| 01 (TX) | 0055R | TX BCBS |
| 01 (AR) | 8P083 | AR BCBS |
| 05 (TX) | 1415531 01 | |
| 01 (OK) | 200092730A | OK CAID |
| 01 (TX) | DA7905 | RR MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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