NPI age
20 years
Enumerated 2005-07-28
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8K0160 | BCBS INDIVIDUAL PROVIDER |
| 05 (TX) | 030031102 | |
| 01 | 10023475 | AMERIGROUP PROVIDER NUMBE |
| 01 | 5283507 | AETNA PROVIDER NUMBER |
| 05 (TX) | 159229701 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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