NPI age
20 years
Enumerated 2006-03-10
Across 1318 active internal medicine providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 8B5471 | BCBS |
| 05 (TX) | 113587304 | |
| 05 (TX) | 143922601 | |
| 05 (TX) | 143923401 | |
| 01 | 8B5470 | BCBS |
| 01 | 41GS | BCBS |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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