NPI age
18 years
Enumerated 2007-07-23
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SD) | 7091 | DAKOTACARE |
| 01 (SD) | P00450058 | RR MEDICARE |
| 05 (IA) | 140756906 | |
| 01 (SD) | 4992481 | SD BLUE CROSS |
| 05 (SD) | 6005702 | |
| 05 (SD) | 6005700 | |
| 05 (NE) | 46022474331 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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