NPI age
20 years
Enumerated 2005-08-31
Across 883 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 201582803 | |
| 01 (TX) | 8BW386 | BCBS TEXAS ID |
| 01 (FL) | 03429 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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