NPI age
19 years
Enumerated 2007-03-23
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F58934 | UPIN |
| 05 (TX) | 131242306 | |
| 01 (TX) | J8152 | TEXAS MEDICAL LICENSE # |
| 01 (TX) | V0091792 | DPS |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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