NPI age
20 years
Enumerated 2005-08-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M2892 | LICENCE NUMBER |
| 01 (TX) | A0143954 | DPS REGISTRATION |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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