NPI age
19 years
Enumerated 2006-09-15
Across 12343 active internal medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0170996 | L & I |
| 05 (WA) | 8290819 | |
| 01 (WA) | 8902519 | CRIME VICTIMS |
| 01 (WA) | P00049522 | RAILROAD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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