NPI age
13 years
Enumerated 2012-07-16
Across 1318 active internal medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P1443 | TEXAS LICENSE |
| 01 | 1639303829 | INDIVIDUAL NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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