NPI age
16 years
Enumerated 2009-06-23
Across 1807 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 0101249343 | VIRGINIA MEDICAL LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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