NPI age
18 years
Enumerated 2007-06-05
Across 883 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155185504 | |
| 01 (TX) | 8DE521 | BC/BS# |
| 01 (TX) | 8CJ746 | BLUE CROSS BLUE SHIELD NUMBER |
| 01 (TX) | P00852588 | RAILROAD MEDICARE |
| 05 (TX) | 155185502 | |
| 01 (TX) | P01090425 | RAILROAD MEDICARE PTAN |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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