NPI age
19 years
Enumerated 2006-10-13
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 51511035 | BLUE CROSS BLUE SHIELD |
| 01 (AL) | 110248812 | RAILROAD MEDICARE |
| 05 (AL) | 051511035 | |
| 01 (TX) | 75-2616977-132 | TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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