NPI age
19 years
Enumerated 2006-07-14
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 171970001 | |
| 05 (TX) | 172328004 | |
| 01 (TX) | 0054LX | BCBS |
| 01 (TX) | DD0066 | RAILROAD MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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