NPI age
20 years
Enumerated 2006-03-17
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1487817151 | GROUP NPI |
| 01 (TX) | 0064RP | BLUE CROSS GOUP |
| 01 (TX) | 8DW621 | BLUE CROSS |
| 05 (TX) | 2010563-01 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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