NPI age
19 years
Enumerated 2006-06-08
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 204267302 | MEDICAID OTHER |
| 01 (TX) | 587504YMAF | MEDICARE |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | P01878880 | MEDICARE RAIL ROAD |
| 05 (TX) | 204267303 | |
| 01 (TX) | 8HB435 | BCBS |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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