NPI age
17 years
Enumerated 2008-07-26
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 400282601 | |
| 05 (OH) | 0051186 | |
| 01 (TX) | 8LE708 | BCBS |
| 01 (TX) | 818011 | MEDICARE |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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