NPI age
19 years
Enumerated 2006-07-08
Across 1318 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 156810702 | |
| 01 (TX) | L2071 | LICENSE |
Multi-provider organization. 5 individual providers on file at this primary address. Plus 2 secondary practice locations.
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