NPI age
20 years
Enumerated 2005-12-15
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 039902402 | |
| 05 (TX) | 39902402 | |
| 01 (TX) | P01643114 | RR MEDICARE |
| 01 (TX) | P00893995 | MEDICARE RR |
| 01 (TX) | 8CN639 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8V4452 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 247 other active providers share this practice address in NPPES.
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