NPI age
20 years
Enumerated 2005-11-14
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 134161208 | |
| 01 (TX) | 1466689 | MEDICAID OF LOUSIANA |
| 01 (TX) | P00064045 | PALMETTO GBA RAILROAD |
| 01 (TX) | 8AD670 | BCBS # |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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