NPI age
19 years
Enumerated 2006-06-11
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 147317501 | |
| 01 (TX) | 8029M2 | BCBS |
| 01 | 060067428 | RAILROAD MDCR |
Solo or small practice. No other active providers share this practice address in NPPES.
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