NPI age
13 years
Enumerated 2012-09-20
Across 1582 active internal medicine providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1629329412 | NPI |
| 01 (TX) | 263709 | MEDICARE PTAN |
| 05 (TX) | 321276301 | |
| 01 (TX) | 321276303 | CSHCN MEDICAID |
| 01 | 173619106 | TPI |
| 01 | 173619107 | TPI |
Multi-provider organization. 2 individual providers on file at this primary address.
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