NPI age
19 years
Enumerated 2006-07-03
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 180209202 | |
| 01 (TX) | 554029YR99 | MEDICARE |
| 01 (TX) | 8GN139 | BCBS |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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