NPI age
20 years
Enumerated 2005-07-07
Across 2301 active internal medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 118393108 | |
| 05 (TX) | 118393109 | |
| 01 (TX) | 167043201 | TEXAS PROVIDER ID |
| 01 (TX) | 8CU321 | BCBS |
| 01 (TX) | 8CK581 | BCBS |
| 01 (TX) | P00948220 | RAILROAD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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