NPI age
20 years
Enumerated 2006-05-12
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1048803-03 | |
| 01 | 8M2990 | BCBS |
| 05 (TX) | 1048803-04 |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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