NPI age
12 years
Enumerated 2014-02-20
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8FG620 | BCBS |
| 01 (TX) | P01536072 | RAIL ROAD |
| 05 (TX) | 350751901 | |
| 01 (TX) | 75-2616977-007 | TRICARE |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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