NPI age
20 years
Enumerated 2006-05-15
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB134908 | MEDICARE |
| 05 (TX) | 168764204 | |
| 01 | 8CY185 | BCBS TX |
| 01 (TX) | P00979607 | RAILROAD MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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