NPI age
19 years
Enumerated 2006-05-31
Across 114 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2611623 | |
| 01 (NY) | 273692 | MED LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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