NPI age
20 years
Enumerated 2006-04-18
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 118084604 | |
| 01 (TX) | 118084605 | MEDICAID (TARRANT) |
| 01 (TX) | 310908YL7A | MEDICARE - OTHER COUNTY |
| 01 (TX) | 310908YNGS | MEDICARE PTAN - TARRANT |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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