NPI age
20 years
Enumerated 2005-11-10
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 64050446 | |
| 01 (KY) | P00316516 | RAIL ROAD MEDICARE PIN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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