NPI age
19 years
Enumerated 2006-07-01
Across 114 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8FS313 | BCBS |
| 01 (TX) | P01628359 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-2616977-026 | TRICARE |
| 05 (TX) | 109389001 | |
| 05 (TX) | 131961809 | |
| 01 (TX) | 75-2616977-129 | TRICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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