NPI age
19 years
Enumerated 2006-11-02
Across 1807 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | T0088883 | DPS NUMBER |
| 05 (TX) | 100351902 | |
| 01 (TX) | J6230 | STATE LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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