NPI age
17 years
Enumerated 2008-07-21
Across 920 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 806415 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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