NPI age
13 years
Enumerated 2012-08-07
Across 12343 active internal medicine providers in Texas.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 396346404 | |
| 05 (TX) | 396346403 | |
| 05 (TX) | 396346405 | |
| 01 (TX) | 8MS874 | BCBS |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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