NPI age
20 years
Enumerated 2006-01-26
Across 29 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 100015864 | RAILROAD MEDICARE |
| 01 (TX) | 8B4340 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 136089309 | |
| 01 | 1821069162 | NPI |
| 01 (PA) | 1336610 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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