NPI age
18 years
Enumerated 2007-07-18
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200590800 A | |
| 01 (OK) | P01599610 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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