NPI age
19 years
Enumerated 2007-01-16
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8ED335 | BCBS |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 01 (TX) | 75-2616977-019 | TRICARE |
| 01 (TX) | 8BC261 | BCBS OF TEXAS |
| 01 (TX) | TIN PLUS 042 | TRICARE |
| 01 (TX) | TIN PLUS 001 | TRICARE |
| 05 (TX) | 198507901 | |
| 01 (TX) | TIN PLUS 029 | TRICARE |
| 05 (TX) | 198507902 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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