NPI age
20 years
Enumerated 2006-02-01
Across 126 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 033521802 | |
| 05 (IA) | ENROLLED | |
| 01 (MN) | P00771174 | RAILROAD MEDICARE |
| 05 (MN) | ENROLLED | |
| 05 (WI) | 35329700 |
Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.
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