NPI age
19 years
Enumerated 2006-06-01
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200164790A | |
| 01 (TX) | 8R1393 | BLUE CROSS OF TEXAS |
| 05 (TX) | 155499004 | |
| 05 (TX) | 155499005 |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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