NPI age
19 years
Enumerated 2006-07-31
Across 1807 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2164568-01 | |
| 01 (TX) | 8CL139 | BCBS IND. NUMBER |
| 01 (TX) | 336807YKXY | MEDICARE PTAN |
| 05 (TX) | 216456803 | |
| 05 (TX) | 216456802 | |
| 01 (TX) | 336807YKXV | MEDICARE PTAN |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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