NPI age
18 years
Enumerated 2007-05-30
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 209661203 | |
| 05 (TX) | 209661202 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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