NPI age
19 years
Enumerated 2006-06-22
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1144669-04 | |
| 01 (TX) | 8BR079 | BCBS |
| 05 (TX) | 114466905 | |
| 01 (TN) | 84Y716 | BCBS |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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