NPI age
15 years
Enumerated 2010-06-17
Across 2301 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | ENROLLED | |
| 05 (MN) | ENROLLED | |
| 05 (IA) | ENROLLED | |
| 01 (MN) | P01034529 | RAILROAD MEDICARE |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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