NPI age
20 years
Enumerated 2006-05-12
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 042172901 | |
| 01 (TX) | 060050271 | RAILROAD MEDICARE |
| 01 (TX) | 6299 | FREEDOM OF CHOICE/MHHNP |
| 01 (TX) | 84012S | BC/BS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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