NPI age
19 years
Enumerated 2006-06-08
Across 920 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P5319 | MEDICAL LICENSE |
| 01 (TX) | 207RI0200X | TAXONOMY |
Solo or small practice. No other active providers share this practice address in NPPES.
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