NPI age
19 years
Enumerated 2006-07-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 742895187 | TRICARE |
| 01 (TX) | 8AJ762 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 0307373-01 |
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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