NPI age
19 years
Enumerated 2006-09-29
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158129001 | |
| 05 (TX) | 158129004 | |
| 01 (TX) | 158129007 | MEDICAID TPI |
| 05 (TX) | 158129005 | |
| 01 (TX) | 1508958000 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | CI5830 | RR PIN |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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