NPI age
17 years
Enumerated 2008-08-21
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | Q2115 | TEXAS MEDICAL BOARD |
| 01 (CT) | #047615 | CT STATE LICENSE |
Part of a multi-provider practice. 59 other active providers share this practice address in NPPES.
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