NPI age
18 years
Enumerated 2007-11-09
Across 12343 active internal medicine providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 0059JQ | BCBS |
| 01 (TX) | R0119630 | DPS |
| 01 (TX) | L1871 | TX LICENSE |
Multi-provider organization. 4 individual providers on file at this primary address.
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