NPI age
19 years
Enumerated 2006-07-11
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 113715006 | |
| 05 (TX) | 113715005 | |
| 05 (TX) | 113715002 | |
| 01 | 390004961 | RAILROAD GBA |
| 01 | 0081BF | BCBS# |
| 01 (TX) | 8BF370 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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