NPI age
18 years
Enumerated 2007-05-31
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1245235886 | |
| 01 | BP1-0027112 | INSTITUTIONAL PERMIT |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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