NPI age
19 years
Enumerated 2007-02-13
Across 377 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | E8916 | COMMERCIAL - LICENSE |
| 01 | 000B56J | BLUE CROSS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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