NPI age
18 years
Enumerated 2007-07-13
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (ND) | 10622 | LICENSE |
| 05 (TX) | 337850701 | |
| 01 (ND) | P00441730 | RAILROAD MEDICARE |
| 05 (ND) | 14390 | |
| 01 (TX) | 8EP302 | BCBS |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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