NPI age
20 years
Enumerated 2006-05-19
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00189865 | RAILROAD MEDICARE # |
| 01 (TX) | 4202680 | AETNA PROV # |
| 01 (TX) | 8R1140 | BLUE CROSS PROV # |
Part of a multi-provider practice. 158 other active providers share this practice address in NPPES.
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