NPI age
20 years
Enumerated 2005-12-13
Across 1807 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 175894805 | |
| 01 (TX) | 901094 | MEDICARE |
| 05 (TX) | 175894801 | |
| 01 (TX) | P02416492 | MEDICARE RAIL ROAD |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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