NPI age
20 years
Enumerated 2005-08-09
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 110162071 | MCR RR |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 | 00064CV | BCBS |
| 05 (TX) | 079972801 | |
| 01 (TX) | 8EJ819 | BCBS |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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