NPI age
15 years
Enumerated 2011-05-03
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB130027 | MEDICARE PART B |
| 01 (TX) | M7714 | LICENCE |
Single-site organization. Only one practice location on file.
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