NPI age
20 years
Enumerated 2006-03-29
Across 1069 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 139055103 | |
| 01 | 25206 | AMERIGROUP |
| 01 | 2317059 | BLUE LINK # |
| 01 | 900002644 | RAILROAD MEDICARE |
| 01 | 10014446 | AMERICAID |
| 05 (TX) | 139055107 | |
| 01 | 4138683 | AETNA |
| 01 (TX) | 85273N | BLUECHOICE SOLUTION NETWK |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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