NPI age
17 years
Enumerated 2008-06-12
Across 883 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1105023 | |
| 05 (MS) | 03208741 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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