NPI age
17 years
Enumerated 2008-06-17
Across 479 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 70802 | ARIZONA LICENSE NUMBER |
| 01 (TX) | Q0775 | TEXAS LICENSE NUMBER |
Part of a multi-provider practice. 230 other active providers share this practice address in NPPES.
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