NPI age
20 years
Enumerated 2005-10-12
Across 749 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 5397113 | AETNA |
| 01 | 00347R | BCBS |
| 01 (TX) | 1235128240 | GROUP NPI |
| 01 | A002 | CHAMPUS |
| 05 (TX) | 1384695-13 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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