NPI age
18 years
Enumerated 2008-01-31
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 283355005 | |
| 01 (TX) | 283355006 | MEDICAID - OTHER |
| 01 (TX) | 336133YL7A | MEDICARE - OTHER COUNTY |
Solo or small practice. No other active providers share this practice address in NPPES.
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