NPI age
20 years
Enumerated 2006-05-19
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8R1141 | BLUE CROSS PROV # |
| 01 (TX) | 4104575 | AETNA PROVIDER # |
| 01 (TX) | P00184430 | RAILROAD MEDICARE NUMBER |
| 05 (TX) | 102112303 |
Solo or small practice. No other active providers share this practice address in NPPES.
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