NPI age
19 years
Enumerated 2006-07-16
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 80075741 | DPS |
| 01 (TX) | H8557 | LICENSE |
| 01 (TX) | 7942B | ECFMG |
| 05 (TX) | 136773209 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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