NPI age
13 years
Enumerated 2013-05-14
Across 1807 active internal medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 7100308920 | |
| 01 (TX) | S1538 | TEXAS STATE LICENSE |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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