NPI age
19 years
Enumerated 2006-12-18
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 82Z141 | BCBS PROVIDER |
| 01 (TX) | J3375 | TEXAS MEDICAL LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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