NPI age
20 years
Enumerated 2005-06-14
Across 1318 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MN) | P00849680 | RAILROAD MEDICARE |
| 01 (TX) | P02137176 | MEDICARE RAILROAD |
| 05 (TX) | 393948001 | |
| 05 (IA) | ENROLLED | |
| 05 (WI) | 31692500 |
Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.
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