NPI age
19 years
Enumerated 2006-10-19
Across 1318 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 228837 | NEW YORK STATE LISENCE |
| 01 (TX) | M9859 | PHYSICIAN PERMIT |
| 01 (TX) | 1255569471 | GROUP NPI NUMBER |
| 05 (TX) | 206878502 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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