NPI age
20 years
Enumerated 2005-06-13
Across 576 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P02601799 | MCRR |
| 05 (TX) | 133216505 | |
| 01 (TX) | 1L5092 | MEDICARE |
| 05 (SC) | 386219 | |
| 05 (TX) | 133216511 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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