NPI age
19 years
Enumerated 2006-11-15
Across 309 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 241390 | LICENSE |
| 01 (TX) | P7653 | LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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