NPI age
19 years
Enumerated 2006-07-07
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 101561202 | |
| 05 (TX) | 080636601 | |
| 01 (TX) | 0045BY | BCBS TEXAS/ MEDICARE GROUP # |
| 01 (TX) | 88820F | BCBS TEXAS/ MEDICARE INDIVIDUAL # |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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