NPI age
19 years
Enumerated 2006-06-07
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M1448 | STATE LICENSES |
| 01 (TX) | 00X656 | MEDICARE PART B |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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