NPI age
20 years
Enumerated 2005-07-08
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OK) | 100146190A | OKLAHOMA MEDICAID |
| 05 (LA) | 1736996 | |
| 05 (TX) | 185865601 | |
| 05 (TX) | 1668535-01 | |
| 05 (OK) | 200118650A | |
| 01 (TX) | 00K55R | BLUE CROSS BLUE SHIELD |
| 01 | 4333749 | AETNA |
| 01 (TX) | P00025103 | RAILROAD MEDICARE |
| 01 (OK) | 241430304 | OKLAHOMA MEDICARE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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