NPI age
20 years
Enumerated 2005-12-08
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | N371170 | WELLCARE |
| 01 (FL) | 14025 | BLUE CROSS BLUE SHIELD |
| 05 (FL) | 278190500 |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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