NPI age
20 years
Enumerated 2006-02-01
Across 2301 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00898228 | MEDICARE RAILROAD |
| 05 (TX) | 165060803 | |
| 01 (TX) | 8CM501 | BCBS |
| 01 (TX) | TXB112469 | MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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