NPI age
20 years
Enumerated 2005-12-06
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 937881 | |
| 01 (AZ) | P00281306 | RAILROAD MEDICARE |
| 01 (AZ) | 86080015085259D011 | TRIWEST |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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