NPI age
20 years
Enumerated 2005-08-12
Across 1807 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 0360959594 | |
| 01 (IL) | 100010491 | MEDICARE RAILROAD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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