NPI age
20 years
Enumerated 2005-06-30
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00F22E | GROUP BCBS # |
| 01 (TX) | 82J692 | MCR UPIN AHA |
| 01 (TX) | E41374 | ACC MCR UPIN |
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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