NPI age
19 years
Enumerated 2006-09-20
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1780781187 | RENDERING PROVIDER NPI |
| 05 (TX) | 1222465-01 | |
| 01 (TX) | 00528J | MEDICARE PTAN |
| 01 (TX) | 1457680464 | GROUP NPI |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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