NPI age
20 years
Enumerated 2005-08-17
Across 1582 active internal medicine providers in Texas.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165707404 | |
| 05 (TX) | 1588656391 | |
| 01 (TX) | 8S4208 | BLUE CROSS |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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