NPI age
20 years
Enumerated 2005-06-01
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 060012329 | RAILROAD MEDICARE |
| 05 (TX) | 117615802 | |
| 01 (TX) | 74193943977014A001 | CHAMPUS |
| 01 (TX) | 870932 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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