NPI age
15 years
Enumerated 2010-08-03
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0016TY | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 220035402 | |
| 05 (TX) | 220035401 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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