NPI age
12 years
Enumerated 2014-04-10
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 387864701 | |
| 01 (TX) | 387864702 | MEDICAID CSHCN |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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