NPI age
19 years
Enumerated 2006-07-20
Across 1835 active hospitalist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 1295755577 | |
| 01 (KS) | KA2129004 | MEDICARE PTAN |
| 05 (KS) | 200379560A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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