NPI age
20 years
Enumerated 2005-09-13
Across 2301 active internal medicine providers in Texas.
8 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 128834206 | |
| 01 (TX) | 4538099 | AETNA |
| 01 (TX) | 038665009 | UNITED HEALTHCARE |
| 05 (TX) | 128834202 | |
| 01 (TX) | 089421J | BCBS |
| 01 (TX) | 752616977007 | TRICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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