NPI age
20 years
Enumerated 2005-11-08
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 125728901 | |
| 01 (TX) | H9500 | TEXAS LICENSE |
| 01 (TX) | R0097252 | DPS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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