NPI age
17 years
Enumerated 2008-12-11
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 204078404 | |
| 01 (TX) | 8EN446 | BCBS |
| 05 (TX) | 204078405 | |
| 01 (TX) | 8EQ059 | BCBS |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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