NPI age
19 years
Enumerated 2006-06-28
Across 1069 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1815280403 | |
| 01 (TX) | P00947300 | RR MEDICARE |
| 01 | 5032088 | AETNA PIN# |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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