NPI age
19 years
Enumerated 2006-07-05
Across 1318 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 39471357 | |
| 05 (TX) | 175532403 | |
| 05 (TX) | 175532401 | |
| 05 (OK) | 200065560A |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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