NPI age
19 years
Enumerated 2007-04-19
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752069647 | CHAMPUS AND CHAMPVA |
| 05 (TX) | 089633403 | |
| 01 (TX) | 752069647 | ALL TRICARE PLANS |
| 01 (TX) | 752069647 | MOST COMMERCIAL INS PLANS |
| 01 | 8AJ153 | BCBS |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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