NPI age
18 years
Enumerated 2008-01-25
Across 309 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 306193YR99 | MEDICARE |
| 05 (TX) | 324139001 | |
| 01 (TX) | P01253235 | RAILROAD MEDICARE |
| 01 (TX) | 8DV682 | BCBSTX |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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