NPI age
19 years
Enumerated 2006-11-22
Across 1318 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | PENDING | |
| 05 (PA) | 1019432100001 | |
| 01 (PA) | 1967484 | BLUE SHIELD |
| 05 (NY) | 00246075 | |
| 01 (TX) | PENDING | BCBSTX |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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