NPI age
19 years
Enumerated 2006-07-18
Across 2301 active internal medicine providers in Texas.
12 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 174352801 | |
| 01 | 060063342 | MEDICARE B - RR |
Multi-provider organization. 12 individual providers on file at this primary address.
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