NPI age
20 years
Enumerated 2006-05-12
Across 1582 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | P00605021 | RAILROAD MEDICARE |
| 01 (IL) | 1616108 | BCBS |
| 05 (WI) | 33326800 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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