NPI age
21 years
Enumerated 2005-05-23
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 80X517 | ADDITIONAL MEDICARE |
| 05 (TX) | 139433009 |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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