NPI age
18 years
Enumerated 2007-06-04
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1239526 | |
| 01 (LA) | 4N874F600 | MEDICARE - PTAN |
Solo or small practice. No other active providers share this practice address in NPPES.
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