NPI age
20 years
Enumerated 2006-03-09
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CT) | 041971 | CT LIC# |
| 01 (TX) | K0351 | LICENSE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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