NPI age
19 years
Enumerated 2006-09-21
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8W1054 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 173242202 |
Part of a multi-provider practice. 78 other active providers share this practice address in NPPES.
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