NPI age
19 years
Enumerated 2007-01-10
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 197183003 | |
| 01 (TX) | 197183004 | MEDICAID OTHER |
| 05 (TX) | 197183002 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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