NPI age
19 years
Enumerated 2006-12-01
Across 479 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 481122010 | |
| 01 | 700H262220 | BLUE CROSS-BLUE CROSS |
| 01 | NI086741 | COMMERCIAL-COMMERCIAL NUMBER |
| 01 | NI086741 | CHAMPUS-CHAMPUS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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