NPI age
20 years
Enumerated 2006-03-29
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 807659 | BLUE SHIELD |
| 01 (TX) | P01054635 | MEDICARE RR |
| 01 (TX) | 1730140906 | BCBS JV LOCATION |
| 01 (TX) | TIN PLUS 042 | TRICARE |
| 01 (TX) | TIN PLUS 005 | TRICARE JV |
Solo or small practice. No other active providers share this practice address in NPPES.
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