NPI age
19 years
Enumerated 2007-01-11
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 80780Y | BCBS |
| 05 (TX) | 135150408 | |
| 05 (TX) | 135150406 | |
| 01 (TX) | TXB158020 | PTAN |
Single-site organization. Only one practice location on file.
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