NPI age
19 years
Enumerated 2007-02-07
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 000000750628 | ANTHEM PROVIDER NUMBER |
| 05 (IN) | 201049570 | |
| 01 (NY) | 241127 | LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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