NPI age
20 years
Enumerated 2005-11-18
Across 1582 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 029932302 | |
| 01 (TX) | K8251 | TX MEDICAL LICENSE |
| 01 (TX) | P99741272 | RR MEDICARE TX |
| 05 (OK) | 100178120A |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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