NPI age
20 years
Enumerated 2006-04-21
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8C0705 | BCBS |
| 01 (TX) | 060065139 | RR MEDICARE |
| 05 (TX) | 134450908 |
Solo or small practice. No other active providers share this practice address in NPPES.
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