NPI age
19 years
Enumerated 2007-02-22
Across 1318 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10023338 | AMERIGROUP |
| 05 (TX) | 151461401 | |
| 01 (TX) | 5672615 | AETNA |
| 01 (TX) | 8F9180 | BCBS |
| 01 (TX) | K4205 | TEXAS LICENSE |
| 01 (TX) | 1831192319 | NPI |
Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.
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