NPI age
20 years
Enumerated 2005-06-01
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00TF43 | BLUE CROSS/BLUE SHIELD |
| 05 (TX) | 123961801 | |
| 01 (TX) | 060016675 | RAILROAD MEDICARE |
| 01 (TX) | 4010902 | AETNA |
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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