NPI age
20 years
Enumerated 2006-05-19
Across 12343 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 264613700 | |
| 01 (FL) | 110210123 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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