NPI age
18 years
Enumerated 2008-02-13
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 419675001 | |
| 01 (MI) | 70-0-F32947-0 | BCBS CPIN # |
| 05 (MI) | 1598933558 |
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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