NPI age
19 years
Enumerated 2006-07-21
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | A93497 | STATE MEDICAL LICENSE |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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