NPI age
19 years
Enumerated 2006-08-05
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 116990100 | FIRST CARE |
| 01 | 290005045 | RAILROAD MEDICARE |
| 01 (TX) | OOJ89Z | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 5241453 | AETNA |
| 05 (TX) | 131791905 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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