NPI age
20 years
Enumerated 2005-09-13
Across 883 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 89425J | BCBS |
| 01 (TX) | 4416261 | AETNA |
| 01 (TX) | 033371305 | UNITED HEALTHCARE |
| 05 (TX) | 123074004 | |
| 01 (TX) | 752616977007 | TRICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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