NPI age
17 years
Enumerated 2008-09-23
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 214881 | MEDICARE GROUP PTAN |
| 05 (TX) | 1144470584 |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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