NPI age
20 years
Enumerated 2006-05-12
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 153190115A | |
| 05 (TX) | 1819583-04 | |
| 01 (TX) | 8CL595 | BCBSTX |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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