NPI age
19 years
Enumerated 2006-10-17
Across 29 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 128526406 | |
| 01 (TX) | 128526407 | CSHCN |
| 01 | 100016042 | RR MEDICARE |
| 01 | 100013062 | RR MEDICARE |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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