NPI age
20 years
Enumerated 2006-01-12
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 114736505 | |
| 01 (TX) | P02601506 | MCRR |
| 01 (TX) | P02601522 | MCRR |
| 05 (TX) | 114736504 | |
| 05 (TX) | 114736508 | |
| 01 (TX) | 1K1769 | MEDICARE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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