NPI age
20 years
Enumerated 2006-03-01
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-008 | TRICARE |
| 05 (TX) | 152564401 | |
| 01 (TX) | 8FH270 | BCBS |
| 01 (TX) | P01536078 | RAIL ROAD |
| 01 (TX) | 0013JE | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 75-2616977-125 | TRICARE |
| 01 (TX) | 100016832 | RAILROAD MCR |
| 05 (TX) | 132297608 |
Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.
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