NPI age
20 years
Enumerated 2006-04-05
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1159048-02 | |
| 01 (TX) | 110211039 | RR/MEDICARE |
| 01 (TX) | 83X674 | BLUE SHIELD |
| 01 (TX) | 1159048-03 | CSHCN |
Part of a multi-provider practice. 311 other active providers share this practice address in NPPES.
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