NPI age
19 years
Enumerated 2006-10-12
Across 920 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00876959 | RR MEDICARE (MDACC) |
| 05 (TX) | 173567204 (MDACC) | |
| 01 (TX) | 8U4296 | BCBS (MDACC) |
| 01 (TX) | 173567205 | MEDICAID-CSHCN |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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