NPI age
19 years
Enumerated 2007-02-28
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | MD200434 | MEDICAL LICENSE |
| 01 (TX) | P6575 | MEDICAL LICENSE |
| 05 (LA) | 1720771 | |
| 01 (TX) | F0200133 | DPS |
| 01 (LA) | 1598754699 | UPIN GROUP NUMBER |
| 01 (LA) | 4P267F600 | MEDICARE - PTAN |
Solo or small practice. No other active providers share this practice address in NPPES.
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