NPI age
19 years
Enumerated 2007-02-23
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10014568 | MEDICAID |
| 05 (TX) | 25358 |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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