NPI age
19 years
Enumerated 2006-10-02
Across 78 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 100450610A | |
| 05 (MO) | 208433904 | |
| 01 (MO) | 32125027 | BCBS KC |
| 01 (KS) | 405970 | FIRSTGUARD |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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