NPI age
19 years
Enumerated 2007-03-24
Across 309 active internal medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 193814401 | |
| 01 (TX) | P00610119 | RAILROAD MEDICARE |
| 01 (TX) | 752616977007 | TRICARE |
| 01 (TX) | 8V4159 | BCBS TRINITY |
| 01 (TX) | 8G7384 | BCBS OF TEXAS |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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