NPI age
18 years
Enumerated 2007-06-07
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 191097801 | |
| 01 (TX) | 0028QH | BCBS |
| 01 | DN4715 | MEDICARE RAILROAD |
Single-site organization. Only one practice location on file.
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