NPI age
20 years
Enumerated 2005-12-13
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036099470 | |
| 01 (IL) | P00466659 | RR MEDICARE |
Part of a multi-provider practice. 524 other active providers share this practice address in NPPES.
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