NPI age
20 years
Enumerated 2006-03-14
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | N1075 | MEDICAL LICENSE |
| 01 (WV) | 001720356 | MS BCBS |
| 05 (WV) | 6000462000 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →