NPI age
19 years
Enumerated 2006-06-04
Across 12343 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0304156-01 | |
| 01 (TX) | 110130494 | RAILROAD MEDICARE |
| 01 (TX) | 8AW528 | BCBS |
| 01 (TX) | 5602198 | AETNA |
Part of a multi-provider practice. 89 other active providers share this practice address in NPPES.
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