NPI age
19 years
Enumerated 2006-08-31
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 134126505 | |
| 01 (TX) | J3194 | MEDICALLICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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