NPI age
20 years
Enumerated 2006-05-03
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 386987702 | CSHCN |
| 05 (IN) | 200461290 | |
| 05 (OH) | 2625074 | |
| 05 (TX) | 386987701 | |
| 05 (KY) | 64115108 |
Part of a multi-provider practice. 42 other active providers share this practice address in NPPES.
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