NPI age
19 years
Enumerated 2006-06-12
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100147780A | |
| 01 (AR) | 97560 | BCBS OF ARKANSAS |
| 01 (TX) | 0005940447 | AETNA |
| 05 (AR) | 131289001 | |
| 01 (AR) | 173320000 | QUAL CHOICE |
| 01 (TX) | 3390657 | BLUE LINK |
| 05 (TX) | 045226001 | |
| 01 (TX) | 86V156 | BCBS OF TEXAS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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