NPI age
20 years
Enumerated 2005-07-18
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127547101 | |
| 05 (TX) | 127547106 | |
| 01 (TX) | J2052 | STATE MEDICAL LICENSE |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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