NPI age
20 years
Enumerated 2006-03-29
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | J40419 | BLUE CROSS |
| 01 (MA) | A40016 | MEDICARE |
| 01 | 2121352 | MASSHEALTH |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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