NPI age
17 years
Enumerated 2008-11-21
Across 920 active internal medicine providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | M3110 | TX LICENSE |
| 01 | P00356308 | RR MEDICARE |
| 05 (TX) | 182468201 | |
| 01 (TX) | 0093NS | BCBS |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 6 individual providers on file at this primary address.
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