NPI age
19 years
Enumerated 2007-05-01
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 5315030503 | STATE PHARMACY LICENSE |
| 05 (TX) | 281177003 | |
| 05 (TX) | 281177001 | |
| 01 (MI) | 5101016636 | STATE MEDICAL LICENSE |
| 05 (TX) | 281177002 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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