NPI age
20 years
Enumerated 2005-08-09
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 048695 | GREAT WEST |
| 01 | 78681-C002 | CHAMPUS / TRICARE |
| 01 (TX) | 50473 | FIRST HEALTH |
| 01 (TX) | 832880 | BC/BS |
| 05 (TX) | 12827253 | |
| 01 | 324409 | USA MANAGED CARE |
| 01 | 4313543 | AETNA / TRS |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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