NPI age
19 years
Enumerated 2006-11-21
Across 479 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | J3218 | TEXAS STATE PERMIT |
| 01 (OR) | MD28144 | OREGON STATE PERMIT |
| 05 (TX) | 1285157-07 | |
| 01 (NM) | MD2008-0719 | NEW MEXICO STATE PERMIT |
| 01 (WA) | MD00046604 | WASHINGTON STATE PERMIT |
| 01 (TX) | T0083311 | DPS |
| 05 (TX) | 128515702 | |
| 01 (NC) | 33561 | NORTH CAROLINA STATE PERMIT |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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