NPI age
19 years
Enumerated 2006-10-02
Across 1582 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100008150 | |
| 01 (IN) | P00413670 | RAILROAD MEDICARE IND |
| 01 (KY) | P00408183 | RAILROAD MEDICARE KY |
| 01 (IN) | 01063002A | MEDICAL LICENSE |
| 01 (KY) | 39997 | MEDICAL LICENSE |
| 05 (IN) | 200879190 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →