NPI age
20 years
Enumerated 2006-02-02
Across 2301 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CM512 | BCBS |
| 01 (TX) | TXB112458 | MEDICARE |
| 05 (TX) | 096380307 | |
| 01 (TX) | P00898261 | RAILROAD MEDICARE |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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