NPI age
19 years
Enumerated 2006-07-10
Across 1807 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1S6456 | PTAN |
| 05 (TX) | 031208403 | |
| 05 (TX) | 0312084-04 | |
| 05 (TX) | 0312084-05 | |
| 01 (TX) | 8U9090 | BC/BS PROVIDER NUMBER |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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