NPI age
20 years
Enumerated 2006-03-24
Across 920 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8J0636 | BLUE SHIELD |
| 05 (TX) | 159620703 | |
| 05 (TX) | 1596207-01 | |
| 01 (TX) | 1596207-02 | CSHCN |
| 01 (TX) | P00047686 | RR/MEDICARE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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