NPI age
19 years
Enumerated 2007-01-24
Across 576 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 040163001 | |
| 01 (TX) | 88853G | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 110164077 | RAILROAD MEDICARE |
Part of a multi-provider practice. 995 other active providers share this practice address in NPPES.
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