NPI age
19 years
Enumerated 2006-06-13
Across 920 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0086EY | BC/BS |
| 05 (TX) | 031405602 | |
| 01 (TX) | 8AD946 | BCBS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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