NPI age
16 years
Enumerated 2009-11-09
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 04TA | BC BS GROUP IDENTIFIER |
| 01 (TX) | 0A5721 | MEDICARE GROUP PTAN |
| 01 (TX) | 211935601 | MEDICAID GROUP ID |
| 01 | DP8723 | MEDICARE RR GROUP PTAN |
Single-site organization. Only one practice location on file.
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