NPI age
19 years
Enumerated 2006-08-18
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00027J | BLUE CROSS |
| 01 (TX) | 00802U | PTAN |
| 05 (TX) | 85C643 | |
| 01 (TX) | 5524910001 | MEDICARE DME |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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