NPI age
19 years
Enumerated 2006-08-25
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100003800A | |
| 05 (NM) | 000U2314 | |
| 01 (TX) | 00JZ71 | ALL PRIVATE INSURANCE |
| 05 (TX) | 130538502 |
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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