NPI age
13 years
Enumerated 2012-07-13
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 414064YSFZ | MEDICARE PTAN |
| 05 (TX) | 3461097 01 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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