NPI age
14 years
Enumerated 2011-06-26
Across 12343 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 412167501 | |
| 05 (TX) | 393607220 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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