NPI age
19 years
Enumerated 2006-10-23
Across 12343 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105667304 | |
| 01 (TX) | 1487737219 | NPI INDIVIDUAL |
| 05 (TX) | 172115101 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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