NPI age
19 years
Enumerated 2006-06-17
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122033705 | |
| 01 (TX) | 8G2112 | BLUE CROSS/BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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