NPI age
19 years
Enumerated 2006-10-05
Across 749 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 162406604 | |
| 01 (TX) | 7416503 | AETNA |
| 01 (TX) | 1102924 | FIRST HEALTH |
| 01 (TX) | 8G9505 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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