NPI age
19 years
Enumerated 2006-09-21
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 038476003 | |
| 01 | 45D1035264 | CLIA |
| 01 | 8P1101 | BLUC CROSS BLU SHIELD |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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