NPI age
20 years
Enumerated 2005-08-30
Across 1807 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01812747 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-2616977-054 | TRICARE |
| 05 (TX) | 338983501 | |
| 05 (TX) | 338983502 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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