NPI age
17 years
Enumerated 2008-09-18
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 198912113 | |
| 01 (TX) | P00976679 | RR MEDICARE |
| 05 (TX) | 198912103 | |
| 05 (TX) | 198912104 | |
| 05 (TX) | 198912102 | |
| 01 (TX) | P01044136 | RR MEDICARE |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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