NPI age
19 years
Enumerated 2006-10-04
Across 2301 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 133955702 | |
| 01 | TXB143664 | MEDICARE PTAN # |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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