NPI age
18 years
Enumerated 2007-07-31
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-012 | TRICARE |
| 01 (TX) | 8CY127 | BCBS |
| 05 (TX) | 284561201 | |
| 05 (MS) | 07682365 |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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