NPI age
20 years
Enumerated 2005-09-21
Across 63 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4500496724 | CLIA |
| 01 (TX) | 82G537 | BLUE CROSS |
| 05 (TX) | 081517701 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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