NPI age
20 years
Enumerated 2006-05-15
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 039906261S | HUMANA |
| 05 (WI) | 34624200 | |
| 05 (WI) | 1104877935 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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