NPI age
20 years
Enumerated 2006-03-09
Across 883 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 58235012 | BCBS |
| 05 (KY) | 7100479070 | |
| 05 (TX) | 153421602 | |
| 05 (IN) | 300006942 | |
| 01 (TX) | 1A3287 | MEDICARE PTAN |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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