NPI age
20 years
Enumerated 2006-04-13
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0086GP | BCBS |
| 05 (TX) | 040329702 | |
| 01 (TX) | 7827163 | AETNA |
| 01 (TX) | 90116910 | PACIFICARE |
| 01 (TX) | 10030775 | AMERIGROUP |
| 01 (TX) | 110224533 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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