NPI age
20 years
Enumerated 2005-07-01
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0066QV | BCBS PROVIDER GRP. NO |
| 05 (TX) | 160272401 | |
| 01 (TX) | 00568U | MEDICARE GROUP PIN |
| 01 (TX) | 8AJ983 | BCBS PROVIDER NO. |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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