NPI age
19 years
Enumerated 2006-10-02
Across 1318 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115864409 | |
| 01 | 891075 | MEDICARE |
| 01 | P02411377 | RR MEDICARE |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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