NPI age
20 years
Enumerated 2006-02-10
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 101210601 | |
| 01 (TX) | CO08090K0 | BCBS |
| 01 (TX) | TIN PLUS SUFFIX 035 | TRICARE |
| 01 (TX) | 123037 | CHIPS |
| 01 (TX) | 110205047 | MEDICARE RAILROAD |
| 01 (TX) | TIN PLUS SUFFIX 005 | TRICARE |
| 01 (TX) | 5788303 | AETNA |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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