NPI age
15 years
Enumerated 2010-08-17
Across 920 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | P080H1776 | |
| 01 (TX) | 1322455 | TEXAS PROVIDER IDENTIFICATION (TPI) |
| 01 (TX) | G8957 | TEXAS MEDICAL LICENSE NUMBER |
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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