NPI age
19 years
Enumerated 2007-05-10
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M1448 | LICENSE |
| 01 (TX) | 00X656 | NEW MEDICARE NUMBER |
| 01 (TX) | 612406 | OTHER MEDICARE # |
Single-site organization. Only one practice location on file.
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