NPI age
19 years
Enumerated 2006-06-22
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1185258-04 | |
| 01 (TX) | 8BN465 | BCBS |
| 01 (TX) | 83301X | BCBS |
| 05 (TX) | 118525801 | |
| 05 (TX) | 118525805 |
Part of a multi-provider practice. 201 other active providers share this practice address in NPPES.
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