NPI age
17 years
Enumerated 2008-07-18
Across 1069 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 343247805 | |
| 05 (OK) | 200962360A |
Solo or small practice. No other active providers share this practice address in NPPES.
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