NPI age
20 years
Enumerated 2005-12-22
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | P000N84V4 | |
| 01 | 110088148 | MEDICARE RR |
| 01 (TX) | 89072S | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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