NPI age
20 years
Enumerated 2006-05-09
Across 479 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752616977180 | TRICARE |
| 01 (TX) | 75-2616977-123 | TRICARE |
| 01 | 290001397 | PALMETTO GBA |
| 01 (PA) | 01238401 | CAPITAL BLUE CROSS |
| 01 (TX) | 8BC074 | BCBS OF TEXAS |
| 05 (PA) | 0010727100003 | |
| 01 (PA) | 067826 | HIGHMARK BLUE SHIELD |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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