NPI age
19 years
Enumerated 2007-05-23
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P1617 | TEXAS MEDICAL BOARD |
| 01 (PR) | 14825 | MEDICAL LICENSE |
| 01 (TX) | P01626909 | RAILROAD MEDICARE |
| 05 (TX) | 297318203 |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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