NPI age
20 years
Enumerated 2005-07-12
Across 309 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2621130 | |
| 01 | P00751115 | RRMC |
| 05 (MI) | MI1635012 |
Part of a multi-provider practice. 62 other active providers share this practice address in NPPES.
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