NPI age
19 years
Enumerated 2006-07-28
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 145768102 | |
| 01 (TX) | 8R5784 | BCBS |
| 01 (TX) | P00209257 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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