NPI age
14 years
Enumerated 2011-10-05
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 375928401 | |
| 01 (TX) | 597380 | PTAN |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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