NPI age
20 years
Enumerated 2006-04-20
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115930306 | |
| 01 (TX) | 1982669875 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 115930305 | |
| 05 (TX) | 115930304 | |
| 01 (TX) | P01030985 | RR MEDICARE |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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