NPI age
19 years
Enumerated 2006-09-13
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 146607002 | |
| 01 | 260341853001 | TRICARE SOUTH |
| 01 | 8BW701 | BCBS OF TX |
| 01 | 04-60996 | EVERCARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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