NPI age
19 years
Enumerated 2006-06-17
Across 920 active internal medicine providers in Texas.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 163096401 | |
| 01 (TX) | 0077PU | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 9 individual providers on file at this primary address.
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