NPI age
20 years
Enumerated 2005-07-12
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (DE) | C1-0006902 | DELAWARE LICENSE |
| 01 (TX) | L5254 | TEXAS LICENSE |
| 01 (DE) | MD4244 | CONTROLLED SUBSTANCE # |
| 05 (DE) | 1000022966 | |
| 01 (TX) | M0145214 | DPS (CONTROLLED SUBSTANCE |
Part of a multi-provider practice. 524 other active providers share this practice address in NPPES.
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