NPI age
16 years
Enumerated 2010-01-13
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1063742005 |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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