NPI age
20 years
Enumerated 2005-07-28
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 154475001 | |
| 01 (OK) | 466853ZSR | MEDICARE - OK |
| 01 (AR) | 5M963B878 | MEDICARE - ARK |
Part of a multi-provider practice. 132 other active providers share this practice address in NPPES.
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