NPI age
18 years
Enumerated 2007-09-20
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 580601YL9X | MEDICARE |
| 01 (TX) | 8GV735 | BCBS |
| 01 (TX) | 580601YMGJ | MEDICARE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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