NPI age
19 years
Enumerated 2006-06-03
Across 377 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 164649902 | MEDICAID |
| 01 (TX) | 8CW373 | BCBS |
| 01 (TX) | P00959950 | MCR RR |
| 01 (TX) | TXB125922 | MEDICARE |
| 01 (TX) | 1646499010 | MEDICAID |
| 01 (TX) | P00082071 | MEDICARE RR |
| 01 (TX) | 7215322 | CIGNA |
| 01 (TX) | 9961061 | AETNA |
| 05 (TX) | 164649901 | |
| 01 (TX) | 8B3752 | MEDICARE |
| 01 (TX) | 2498615 | UNITED HC |
| 01 (TX) | 8P6216 | BCBS |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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