NPI age
20 years
Enumerated 2006-04-06
Across 1318 active internal medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 034345104 | |
| 05 (TX) | 034345105 | |
| 01 (TX) | PENDING | BCBSTX |
| 01 (TX) | 00K19Y | BLUE CROSS/BLUE SHIELD |
| 05 (TX) | 034345103 | |
| 05 (TX) | PENDING |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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