NPI age
19 years
Enumerated 2006-11-07
Across 920 active internal medicine providers in Texas.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 101927790 | |
| 01 (PA) | 082109 | MEDICARE PTAN/GROUP NUMBER |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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