NPI age
20 years
Enumerated 2006-04-21
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-1976930-005 | TRICARE |
| 05 (IN) | 200408000 | |
| 01 (TX) | 752616977007 | TRICARE |
| 01 (TX) | P01118425 | RAIL ROAD |
| 05 (TX) | 309038301 |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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