NPI age
20 years
Enumerated 2005-06-20
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | OOTK44 | BLUE CROSS BLUE SHIELD |
| 05 (OK) | 100223450A | |
| 05 (TX) | 100247902 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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