NPI age
19 years
Enumerated 2006-08-11
Across 883 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 179845601 | |
| 01 (TX) | C0073073 | CONTROLLED SUBSTANCE REGI |
| 01 (TX) | H6917 | PHYSICIAN LICENSE/PERMIT |
| 01 (TX) | L05982 | RADIOACTIVE MATERIAL LISC |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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