NPI age
13 years
Enumerated 2012-07-05
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 08359202 | |
| 05 (TN) | Q059363 | |
| 05 (AR) | 243669001 | |
| 01 (TN) | 6239114 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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