NPI age
15 years
Enumerated 2011-04-08
Across 12343 active internal medicine providers in Texas.
9 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 354163 | BOARD CERTIFICATION |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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