NPI age
14 years
Enumerated 2011-12-08
Across 358 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | 370936YL31 | MEDICARE PTAN |
| 05 (CO) | 85035769 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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