NPI age
19 years
Enumerated 2006-06-29
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 039895009 | |
| 05 (TX) | 039895008 | |
| 01 (TX) | 8EE316 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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