NPI age
19 years
Enumerated 2006-08-24
Across 114 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | NP 03 | BLUE CROSS |
| 01 (TX) | A002 | TRICARE |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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