NPI age
19 years
Enumerated 2007-04-02
Across 920 active internal medicine providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 079913201 | |
| 01 (TX) | 0076EV | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 20 individual providers on file at this primary address.
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