NPI age
19 years
Enumerated 2006-11-16
Across 12343 active internal medicine providers in Texas.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 186978601 | |
| 01 | 0089PD | BLUE CROSS |
Multi-provider organization. 11 individual providers on file at this primary address.
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