NPI age
19 years
Enumerated 2006-11-09
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K1411 | MEDICAL LICENSE |
| 05 (TX) | P00040AM6 | |
| 05 (TX) | 030243201 |
Part of a multi-provider practice. 523 other active providers share this practice address in NPPES.
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