NPI age
20 years
Enumerated 2005-12-21
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200071810A | |
| 01 (AR) | 3305971 | BLUE LINK |
| 05 (TX) | 176652902 | |
| 01 | O004252507 | AETNA |
| 05 (AR) | 158742001 | |
| 01 (AR) | 83618 | AR BLUE |
| 01 | P00326364 | RAILROAD |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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