NPI age
20 years
Enumerated 2005-11-16
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 3122026 | |
| 05 (TX) | 333013601 | |
| 01 (MA) | J09299 | BCBS MA |
| 01 (MA) | 071183 | TUFTS HEALTH PLAN |
| 05 (PA) | 0102213389001 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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