NPI age
20 years
Enumerated 2006-04-14
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01309426 | RR MEDICARE |
| 01 (TX) | G1493 | PHYSICIAN LICENSE |
| 05 (TX) | 114877706 | |
| 01 (TX) | P01098536 | RR MEDICARE |
| 01 (TX) | 1457315632 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8EE733 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 114877705 | |
| 05 (TX) | 114877704 |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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