NPI age
19 years
Enumerated 2006-09-22
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 465328YLLW | MEDICARE |
| 05 (TX) | 105548506 | |
| 01 (TX) | 8FH915 | BCBS-TX |
Part of a multi-provider practice. 187 other active providers share this practice address in NPPES.
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