NPI age
19 years
Enumerated 2006-05-31
Across 883 active internal medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00385527 | PALMETTO GBA (RR MEDICARE |
| 05 (OK) | 100 113 520A | |
| 01 (TX) | 8F7573 | BCBS |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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