NPI age
7 years
Enumerated 2018-07-19
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 104348290 | |
| 01 | 16225114 | CAQH |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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