NPI age
19 years
Enumerated 2006-10-13
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127875603 | |
| 01 (TX) | 00BJ59 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 113928133A | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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