NPI age
20 years
Enumerated 2005-09-20
Across 749 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M7021 | TEXAS MEDICAL LICENSE |
| 05 (TX) | 1255327789 |
Solo or small practice. No other active providers share this practice address in NPPES.
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