NPI age
19 years
Enumerated 2006-06-30
Across 920 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 8B5309 | BCBS |
| 01 (TX) | P00250019 | RR MEDICARE |
| 05 (TX) | 101889705 | |
| 05 (TX) | 101889706 | |
| 05 (TX) | 101889703 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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