NPI age
18 years
Enumerated 2007-06-22
Across 1069 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 215762001 | |
| 01 (TX) | 8CL917 | BCBS |
| 01 (FL) | AE711Z | MEDICARE |
Part of a multi-provider practice. 1575 other active providers share this practice address in NPPES.
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