NPI age
19 years
Enumerated 2007-05-10
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0074052 | |
| 01 | P01112538 | RAILROAD MEDICARE |
| 01 | 202045693028 | CARESOURCE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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