NPI age
19 years
Enumerated 2006-08-30
Across 935 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | B0148168 | DPS |
| 05 (TX) | 188727501 |
Part of a multi-provider practice. 274 other active providers share this practice address in NPPES.
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