NPI age
19 years
Enumerated 2006-06-27
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 110190468 | RAILROAD MEDICARE |
| 05 (TX) | 135305411 | |
| 05 (TX) | 135305413 | |
| 05 (TX) | 135306406 | |
| 01 | 0045DV | BLUE CROSS |
| 05 (TX) | 135305412 | |
| 01 | 752836096 | TAX ID # |
| 01 | 116723101 | FIRSTCARE |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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