NPI age
18 years
Enumerated 2007-11-28
Across 29 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 330482601 | |
| 05 (MD) | 442244900 | |
| 05 (TX) | 330482602 | |
| 01 (TX) | P01707725 | RR MEDICARE |
| 01 (LA) | 201516 | LOUSIANA MEDICAL LISCENSE |
| 01 (MD) | 223810ZAEM | MEDICARE |
| 01 (TX) | 8DY375 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 330482603 | |
| 01 (MD) | D0071978 | MD MEDICAL LICENSE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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