NPI age
20 years
Enumerated 2006-02-13
Across 377 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 303346601 | |
| 05 (OK) | 20447390 A | |
| 01 (IN) | 01056005A | STATE LICENSURE |
| 05 (TX) | 303346602 | |
| 05 (IN) | 200425170A | |
| 05 (NM) | 75152835 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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