NPI age
20 years
Enumerated 2005-10-21
Across 749 active internal medicine providers in Texas.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | A002 | CHAMPUS |
| 01 (TX) | 5397113 | AETNA |
| 01 (TX) | 00347R | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 10 individual providers on file at this primary address.
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