NPI age
20 years
Enumerated 2006-05-19
Across 883 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 0004219910 | AETNA PPO |
| 01 | 17894012 | BLUE SHIELD OF KC HMO |
| 01 | 431092652 A024 | CHAMPUS TRICARE |
| 01 | 0004219910 | AETNA HMO |
| 01 | 0004219910 | AETNA |
| 01 | 060042470 | MEDICARE RAILROAD |
| 01 | 17894012 | PHP FREEDOM |
| 01 | 17894012 | BLUE SHIELD OF KC PPO |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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