NPI age
20 years
Enumerated 2006-04-05
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164205004 | |
| 01 (TX) | 00912W | BCBS |
| 05 (TX) | 164205003 | |
| 01 (TX) | 171211901 | MEDICAID GRP # |
| 01 (TX) | 1770546178 | NPI INDIVIDUAL # |
| 05 (TX) | 164205001 | |
| 05 (TX) | 164205002 |
Single-site organization. Only one practice location on file.
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