NPI age
19 years
Enumerated 2007-03-06
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 2008-00764 | STATE LICENSE |
| 05 (SC) | N0076J | |
| 05 (NC) | 5909993 |
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
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