NPI age
19 years
Enumerated 2006-07-11
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1487689303 | TRICARE SOUTH |
| 05 (TX) | 200058007 | |
| 05 (OK) | 200087190A | |
| 01 (OK) | 24899 | LICENSE |
| 01 (TX) | P01205809 | RAILROAD MCARE |
| 01 (TX) | 1487689303 | BCBS OF TX |
| 01 (OK) | 34577 | OBNDD |
| 01 (TX) | 8BG291 | BCBSTX PROVIDER NO. |
| 05 (TX) | 200058001 |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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