NPI age
19 years
Enumerated 2006-06-28
Across 749 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WI) | P00452815 | RR MEDICARE |
| 05 (WI) | 34817900 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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