NPI age
17 years
Enumerated 2008-06-13
Across 479 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 45689 | STATE LICENSE |
| 05 (TX) | 351911803 | |
| 05 (AZ) | 695684 | |
| 01 (TX) | 8FU634 | BCBS |
Part of a multi-provider practice. 591 other active providers share this practice address in NPPES.
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