NPI age
19 years
Enumerated 2006-08-11
Across 479 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 322868601 | |
| 05 (TX) | 322868602 | |
| 05 (TX) | 322868603 | |
| 01 (TX) | P01264355 | MEDICARE RAILROAD |
| 01 (MO) | 1999139399 | MISSOURI LICENSE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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