NPI age
18 years
Enumerated 2007-06-22
Across 883 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 200039416 | |
| 05 (MO) | 1609072065 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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