NPI age
20 years
Enumerated 2005-09-08
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105860401 | |
| 01 (TX) | 88A654 | BCBS |
| 01 | 100005732 | MEDICARE RAILROAD |
Solo or small practice. No other active providers share this practice address in NPPES.
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