NPI age
18 years
Enumerated 2007-08-27
Across 2301 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 100168701 | |
| 05 (TX) | 167241201 | |
| 01 | 83760Y | BLUE CROSS BLUE SHEILD TX |
Multi-site organization. 2 additional practice locations on file.
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