NPI age
20 years
Enumerated 2006-04-20
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MDK5723 | WORKERS COMP |
| 01 (TX) | P00100743 | RAIL ROAD MEDICARE |
| 01 (TX) | K5723 | STATE LICENSE |
| 05 (TX) | 170846301 | |
| 01 (TX) | 0081085 | BLUE LINK |
| 01 (TX) | 7926532 | AETNA |
| 01 (TX) | 8J3800 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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