NPI age
19 years
Enumerated 2007-05-22
Across 309 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1861602781 | |
| 01 | BP1-0022679 | INSTITUTIONAL PERMIT |
| 05 (TX) | 349516006 |
Part of a multi-provider practice. 54 other active providers share this practice address in NPPES.
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