NPI age
19 years
Enumerated 2007-04-25
Across 81 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 282616602 | |
| 01 (TX) | 282616603 | CSHCN |
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
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