NPI age
20 years
Enumerated 2005-12-29
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 131700009 | |
| 05 (TX) | 131700012 | |
| 01 (TX) | 131700013 | CSHCN |
| 01 (TX) | TXB112453 | MEDICARE |
| 01 (TX) | 8CM523 | BCBS |
| 01 (TX) | P00898298 | RAILROAD MEDICARE |
Part of a multi-provider practice. 42 other active providers share this practice address in NPPES.
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