NPI age
19 years
Enumerated 2006-11-14
Across 883 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CV270 | BCBS |
| 01 (TX) | 8U9397 | BCBS |
| 01 (TX) | 752616977019 | TRICARE |
| 05 (TX) | 192626301 | |
| 05 (TX) | 192626303 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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