NPI age
19 years
Enumerated 2006-06-07
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8U1142 | BLUE CROSS BLUE SHIELD |
| 01 | TX6048434 | TRICARE SOUTH |
| 01 | P00297395 | RAILROAD MEDICARE |
| 01 (TX) | L7327 | STATE LICENSES |
| 01 (TX) | 0049NG | BCBS OF TEXAS |
| 05 (TX) | 164219102 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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