NPI age
20 years
Enumerated 2005-09-13
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 119259301 | |
| 01 (TX) | 4619664 | AETNA |
| 01 (TX) | 89424J | BCBS OF TEXAS |
| 01 (TX) | 139586605 | UNITED HEALTHCARE |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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