NPI age
9 years
Enumerated 2017-04-21
Across 1807 active internal medicine providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 90735 | GEORGIA MEDICAL LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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