NPI age
12 years
Enumerated 2013-07-08
Across 223 active surgery providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 335786503 | |
| 05 (TX) | 335786501 | |
| 01 (TX) | 8EJ304 | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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