NPI age
18 years
Enumerated 2008-04-03
Across 1582 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | MT 184641 | PA STATE MEDICAL BOARD |
| 01 (PA) | MD434380 | STATE LICENSE (FULL) |
| 01 (TX) | N1234 | STATE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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