NPI age
19 years
Enumerated 2006-07-10
Across 576 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158693502 | |
| 01 | 7654274 | AETNA PIN # |
| 01 (TX) | 8C8215 | MEDICARE PTAN |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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