NPI age
20 years
Enumerated 2006-05-17
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 0429795 | |
| 05 (IA) | 7709720 | |
| 01 (IA) | 18359 | WELLMARK BCBS IA |
| 05 (IA) | 421283849-46 |
Solo or small practice. No other active providers share this practice address in NPPES.
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