NPI age
20 years
Enumerated 2005-08-18
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 114104 | AMERIGROUP |
| 01 (TX) | 0094KL | BLUE CROSS/BLUE SHIELD |
| 01 (TX) | 3352497 | AETNA |
| 05 (TX) | 153696304 | |
| 01 (TX) | 0400990 | EVERCARE |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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