NPI age
20 years
Enumerated 2006-05-12
Across 377 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 505190721A | |
| 01 (TX) | 2785925 | CIGNA |
| 01 (TX) | 211392002 | MEDICAID |
| 01 (TX) | 8CW375 | BCBS TX |
| 01 (TX) | TXB127565 | MEDICARE |
| 01 (TX) | P00959956 | RR MEDICARE |
| 01 (TX) | 2480187 | UHC |
| 01 (TX) | 7810647 | AETNA |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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