NPI age
20 years
Enumerated 2006-05-18
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 096375307 | |
| 01 (TX) | 1962455071 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | P01255018 | MEDICARE RR |
| 05 (TX) | 096375305 | |
| 05 (TX) | 096375309 | |
| 01 (TN) | 846290 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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