NPI age
19 years
Enumerated 2006-07-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 011856 | MEDICARE GROUP NUMBER |
| 01 (AL) | 1053406280 | MEDICARE GROUP PAYEE NPI |
| 05 (AL) | 631300102 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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