NPI age
19 years
Enumerated 2006-07-08
Across 479 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1285667089 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 217643003 | |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 | 810000902 | RR MEDICARE |
| 01 (TX) | 8EB371 | BCBS BLUE |
| 05 (OK) | 100227160A | |
| 05 (MO) | 205785108 | |
| 05 (KS) | 100416540A | |
| 01 (TX) | P01290935 | RAIL ROAD |
| 01 (MO) | 144600 | ANTHEM |
| 05 (TX) | 217643001 | |
| 01 (TX) | P00898407 | MEDICARE RR |
Part of a multi-provider practice. 154 other active providers share this practice address in NPPES.
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