NPI age
17 years
Enumerated 2009-01-22
Across 1807 active internal medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 202446501 | |
| 01 (TX) | 0021SD | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
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