NPI age
19 years
Enumerated 2006-06-15
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1427957-04 | |
| 01 (TX) | 1609810399 | TRICARE |
| 01 (TX) | 8X6784 | 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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