NPI age
19 years
Enumerated 2006-08-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 433161-01 | KELLCY MEDICAL GROUP MEDICAID # |
| 01 (TX) | 8F7697 | INDIVIDUAL PTAN # |
| 05 (TX) | 1431736-01 | |
| 01 (TX) | 00343R | KELLCY MEDICAL GROUP MEDICARE NUMBER |
| 01 (TX) | OOY940 | GROUP PTAN |
| 01 (TX) | 8CR078 | BC/BS OF TEXAS |
| 01 (TX) | P00903522 | RR MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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