NPI age
18 years
Enumerated 2007-12-04
Across 749 active internal medicine providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00291U | REINSTATED MEDICARE GROUP# |
| 01 (TX) | J1249 | TXB LICENSE |
| 01 (TX) | A0082541 | DPS # |
Multi-provider organization. 5 individual providers on file at this primary address.
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