NPI age
20 years
Enumerated 2006-03-22
Across 749 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154465205 | |
| 01 (TX) | TXB 102271 | MEDICARE |
| 05 (TX) | 154465204 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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