NPI age
19 years
Enumerated 2006-09-20
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 3308090 | |
| 01 (MI) | C20578 | RAILROAD MEDICARE |
| 01 (MI) | 700C96065 | BCBS |
| 01 (TX) | N7281 | STATE LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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