NPI age
19 years
Enumerated 2006-10-03
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1190586 | |
| 05 (MS) | 6403709 | |
| 01 (MS) | P00145583 | RR MEDICARE |
| 01 (MS) | 95909671 | BLUE CROSS OF MS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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