NPI age
18 years
Enumerated 2007-08-21
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01030482 | RR MEDICARE |
| 01 (TX) | 1447443601 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 286992701 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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