NPI age
19 years
Enumerated 2007-02-02
Across 920 active internal medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 304829001 | |
| 01 (IL) | 36-113227 | LICENSED PHYSICIAN AND SURGEON |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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