NPI age
20 years
Enumerated 2005-09-16
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 080648103 | EPSDT |
| 05 (TX) | 157218201 | |
| 01 (TX) | 8J3438 | BCBS OF TX |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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