NPI age
20 years
Enumerated 2005-08-17
Across 1582 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8226BO | BLUE CROSS |
| 05 (TX) | 173763701 | |
| 01 (TX) | P00262936 | RR MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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