NPI age
16 years
Enumerated 2009-07-09
Across 749 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 200720001 | |
| 01 (TN) | 6002130 | BCBS |
| 05 (MS) | 08139832 | |
| 05 (TN) | Q001716 |
Solo or small practice. No other active providers share this practice address in NPPES.
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