NPI age
19 years
Enumerated 2007-05-04
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | N7874 | STATE LICENSURE |
| 01 (NJ) | 25MB08238000 | NJ LICENSE |
Part of a multi-provider practice. 1575 other active providers share this practice address in NPPES.
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