NPI age
18 years
Enumerated 2007-07-19
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8EN191 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 339636801 |
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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