NPI age
19 years
Enumerated 2006-09-22
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 101142102 | |
| 01 (TX) | 101142103 | CSHCN |
| 01 (TX) | 8H4283 | BCBSTX |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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