NPI age
18 years
Enumerated 2008-03-16
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 171378 | MD TRAINING LICENSE |
| 01 (GA) | 065143 | FULL MD LICENSE |
| 01 (GA) | 002860 | MD TRAINING LICENSE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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