NPI age
12 years
Enumerated 2014-04-04
Across 1069 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 090540876 | MEDICARE PTAN |
| 05 (IN) | 300078170 |
Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.
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