NPI age
20 years
Enumerated 2005-12-06
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105163303 | |
| 01 (TX) | P00064419 | MEDICARE RAILROAD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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