NPI age
19 years
Enumerated 2006-12-12
Across 2301 active internal medicine providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DA1201 | MEDICARE RAILROAD |
| 01 (TX) | 01209859 | AMERIGROUP |
| 05 (TX) | 167319601 | |
| 01 (TX) | 0064KB | BCBS GROUP |
| 01 (TX) | 2354224 | AETNA |
Multi-provider organization. 4 individual providers on file at this primary address.
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