NPI age
20 years
Enumerated 2005-10-20
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100848130B | |
| 05 (TX) | 042154704 | |
| 05 (AR) | 140606001 |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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