NPI age
19 years
Enumerated 2006-07-10
Across 1069 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 125624005 | |
| 05 (TX) | 125624001 | |
| 01 | 4064547 | AETNA PIN# |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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