NPI age
18 years
Enumerated 2008-01-30
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1609053750 | TRICARE |
| 05 (TX) | 1985814-01 | |
| 01 (TX) | 8BU149 | BLUE CROSS BLUE SHIELD OF TEXAS |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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