NPI age
20 years
Enumerated 2005-12-30
Across 2301 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB112452 | MEDICARE |
| 01 (TX) | 8CM525 | BCBS |
| 05 (TX) | 118357606 | |
| 01 (TX) | P00898301 | RAILROAD MEDICARE |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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