NPI age
18 years
Enumerated 2007-11-21
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | Q6435 | MEDICAL LICENSE |
| 01 (MO) | 2007033671 | MO LICENSE NUMBER |
Part of a multi-provider practice. 167 other active providers share this practice address in NPPES.
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