NPI age
20 years
Enumerated 2005-07-22
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0013EJ | BCBS OF TEXAS |
| 05 (OK) | 100155780A | |
| 01 | 146341002 | MEDICAID (GROUP) |
| 01 (AR) | 96416 | BLUE CROSS (AR) |
| 05 (TX) | 114818103 | |
| 01 (AR) | 122214001 | MEDICAID (IND) |
Part of a multi-provider practice. 132 other active providers share this practice address in NPPES.
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