NPI age
20 years
Enumerated 2006-01-10
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5259589 | AETNA |
| 01 (TX) | 8G2171 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 154795201 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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