NPI age
20 years
Enumerated 2006-04-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 031104502 | |
| 01 (TX) | 0037ET | BCBS |
| 01 (TX) | 8F24402 | MEDICARE PTAN |
| 01 (TX) | 110213044 | RAILROAD MEDICARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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