NPI age
20 years
Enumerated 2006-03-23
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87198N | BLUE SHIELD |
| 01 (TX) | 110211239 | RR/MEDICARE |
| 01 (TX) | 1053746-01 | CSHCN |
| 05 (TX) | 1053746-02 |
Solo or small practice. No other active providers share this practice address in NPPES.
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