NPI age
19 years
Enumerated 2006-12-07
Across 576 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 177767403 | |
| 05 (TX) | 177767402 | |
| 01 (TX) | 8AQ008 | BLUECROSSBLUESHIELD OF TEXAS |
| 05 (TX) | 177767401 | |
| 01 (TX) | P00664380 | RAILROAD MEDICARE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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