NPI age
20 years
Enumerated 2005-07-13
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 080010027 | MEDICARE RR |
| 01 (TX) | 00GF88 | PTAN |
| 01 (TX) | 45D0492837 | CLIA # |
| 05 (TX) | 033581201 |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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