NPI age
19 years
Enumerated 2006-11-09
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MN) | 310372200 | |
| 05 (PA) | 312633 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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