NPI age
19 years
Enumerated 2006-07-25
Across 1582 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 200404110A | |
| 05 (TX) | 206381010 | |
| 01 | 206381011 | CSHCN MEDICAID TPI |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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