NPI age
19 years
Enumerated 2006-08-24
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 096628502 | |
| 01 | 110151524 | RAILROAD MCR |
| 05 (TX) | 0966285-02 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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