NPI age
19 years
Enumerated 2006-10-16
Across 1069 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | P00650548 | RAILROAD MEDICARE |
| 01 (KY) | P00465602 | RAILROAD MEDICARE |
| 05 (IN) | 200904770 | |
| 01 (KY) | 50017963 | PASSPORT |
| 05 (KY) | 7100014880 | |
| 01 | 000000579346 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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