NPI age
18 years
Enumerated 2008-01-16
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 068002096 | MEDICARE PTAN |
| 05 (KS) | 200677640A |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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