NPI age
19 years
Enumerated 2006-07-31
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 125442702 | |
| 01 (TX) | 4547005 | AETNA PPO |
| 01 (TX) | 83Z202 | BLUECROSS/BLUE SHIELD TX. |
| 01 (TX) | 924703 | AETNA HMO |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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