NPI age
19 years
Enumerated 2006-07-27
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 103I836550 | MEDICARE |
| 01 (MS) | 318281YJ6C | MEDICARE |
| 05 (AR) | 199498001 | |
| 05 (MS) | 06806350 | |
| 05 (TN) | Q001744 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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