NPI age
19 years
Enumerated 2007-04-02
Across 12343 active internal medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 214355401 | |
| 01 (TX) | P00843048 | RAILROAD MEDICARE |
| 01 (TX) | 752616977042 | TRICARE |
| 01 (TX) | 8V3855 | BCBS |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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