NPI age
18 years
Enumerated 2007-07-23
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 1518167188 | INDIVIDUAL NPI |
| 05 (TX) | 218967220TX | |
| 01 (TX) | P02596722 | RR MEDICARE |
| 01 (TX) | 1K6560 | MEDICARE |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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