NPI age
18 years
Enumerated 2007-08-05
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8DE522 | BC/BS # |
| 05 (TX) | 215204305 | |
| 01 (TX) | P00896923 | RAILROAD-MEDICARE # |
| 01 (TX) | P01090444 | RAILROAD MEDICARE PTAN |
| 05 (TX) | 215204301 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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