NPI age
20 years
Enumerated 2005-11-02
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 114961903 | |
| 01 | 85Y010 | BCBS |
| 01 | 4235899 | AETNA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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