NPI age
19 years
Enumerated 2006-10-19
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 068002041 | MEDICARE PTAN |
| 01 (TX) | 8H3653 | BLUE CROSS & BLUE SHIELD |
| 01 (TX) | P00045886 | RAIL ROAD MEDICARE |
| 05 (KS) | 100175460D | |
| 05 (TX) | 160998401 |
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
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