NPI age
20 years
Enumerated 2006-04-18
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009989245 | |
| 01 (TX) | 8L2468 | MEDICARE PTAN |
| 05 (NM) | 93481586 | |
| 01 (TX) | 752684668 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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