NPI age
20 years
Enumerated 2006-03-16
Across 309 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01447565 | RR MEDICARE |
| 01 (TX) | 392274YR99 | MEDICARE |
| 01 (TX) | 8EV934 | BCBS |
| 05 (TX) | 343671901 |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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