NPI age
20 years
Enumerated 2005-08-09
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1861493157 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 119141304 | |
| 01 (TX) | P01242674 | MEDICARE RR |
| 05 (TX) | 119141305 |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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