NPI age
19 years
Enumerated 2007-05-21
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 357011101 | |
| 01 (TX) | P01701262 | RAILROAD |
| 05 (CO) | 36325015 |
Solo or small practice. No other active providers share this practice address in NPPES.
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