NPI age
19 years
Enumerated 2006-09-01
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 116653001 | |
| 01 (TX) | 4212264 | AETNA |
| 01 (TX) | 110060497 | MCR RAILROAD |
| 01 (TX) | 82T458 | BCBS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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