NPI age
19 years
Enumerated 2006-06-19
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 196516 | BCBS |
| 05 (TX) | 202803701 | |
| 05 (MO) | 207570003 | |
| 01 | P00211793 | RAILROAD MEDICARE |
| 01 | 250766 | HEALTHLINK |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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