NPI age
15 years
Enumerated 2011-02-14
Across 920 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0060431 | |
| 01 (OH) | H070410 | MEDICARE PTAN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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