NPI age
20 years
Enumerated 2006-03-07
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 9853306 | UNIVERSAL HEALTHCARE |
| 01 (TX) | 060003592 | RAIL ROAD MEDICARE |
| 01 (TX) | 81060Y | BC/BS OF TEXAS |
| 01 (TX) | 8F7222 | MEDICARE PTAN |
| 01 (TX) | 1-760176665-6-000 | STATE OF TEXAS |
| 01 (TX) | 4456498 | AETNA |
| 01 (TX) | 10020318 | AMERIGROUP TEXAS, INC. |
| 05 (TX) | 113989101 |
Solo or small practice. No other active providers share this practice address in NPPES.
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