NPI age
19 years
Enumerated 2007-01-08
Across 920 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1396893467 | |
| 05 (IL) | ENROLLED |
Part of a multi-provider practice. 670 other active providers share this practice address in NPPES.
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