NPI age
9 years
Enumerated 2017-03-30
Across 12343 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 0000061658 | TENNESSE MEDICAL LICENSE |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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