NPI age
19 years
Enumerated 2007-02-22
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154442103 | |
| 01 (TX) | P00638019 | RAILROAD MEDICARE |
| 01 (TX) | 8W4992 | BCBS |
| 05 (TX) | 154442104 |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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