NPI age
20 years
Enumerated 2006-05-11
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 73-1646482 | TAX ID |
| 05 (TX) | 142799913 | |
| 01 (TX) | 8E0233 | MEDICARE |
| 01 (TX) | F91362 | UPIN |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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