NPI age
19 years
Enumerated 2006-12-20
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 01041827A | MEDICAL LICENSE |
| 01 (KS) | 04.29416 | MEDICAL LICENSE |
| 01 (TX) | M5548 | MEDICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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