NPI age
19 years
Enumerated 2006-08-25
Across 1069 active internal medicine providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 109514302 | |
| 01 (TX) | 00U40Q | BLUECROSS/BLUESHIELD TX |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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