NPI age
19 years
Enumerated 2006-05-31
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | J7947 | LICENSE |
| 01 (TX) | 3321505 | BLUE LINK |
| 01 (TX) | P00264559 | RR MCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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