NPI age
19 years
Enumerated 2006-12-06
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 170868707 | |
| 01 (TX) | 319420ZLVQ | MEDICARE |
| 01 (TX) | 8X7912 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8ER631 | BCBSTX |
| 01 (TX) | P01430111 | RR MEDICARE PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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