NPI age
19 years
Enumerated 2007-04-06
Across 883 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 211561001 | |
| 01 (TX) | P00836010 | RR MEDICARE |
| 05 (AR) | 182168003 | |
| 05 (OK) | 200287540A |
Solo or small practice. No other active providers share this practice address in NPPES.
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