NPI age
19 years
Enumerated 2006-06-15
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 038316801 | |
| 01 (TX) | 8105J1 | BCBSTX |
| 05 (TX) | 038316803 | |
| 01 (TX) | 930091554 | RAILROAD MEDICARE |
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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