NPI age
18 years
Enumerated 2007-11-08
Across 2301 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | DB5006 | MEDICARE B - RAIL ROAD |
| 01 | 0092LE | BCBS-TX |
| 05 (TX) | 168034001 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-site organization. 2 additional practice locations on file.
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