NPI age
20 years
Enumerated 2005-09-30
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 000V5525 | |
| 05 (TX) | 098415502 | |
| 05 (TX) | 098415503 | |
| 01 (TX) | F9119 | STATE LICENSE NUMBER |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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