NPI age
19 years
Enumerated 2007-02-22
Across 1807 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 289616901 | |
| 01 (TX) | 8DE530 | BC/BS # |
| 01 (TX) | P01050335 | RAILROAD MEDICARE |
| 05 (TX) | 289616903 | |
| 01 (TX) | 8W5593 | BC/BS # |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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