NPI age
16 years
Enumerated 2009-07-06
Across 309 active internal medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P02601751 | MCRR |
| 01 (TX) | 1L5720 | MEDICARE |
| 05 (TX) | 389894206 |
Solo or small practice. No other active providers share this practice address in NPPES.
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