NPI age
19 years
Enumerated 2006-07-25
Across 602 active thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115391802 | |
| 01 (TX) | 827040 | AUSTIN BCBS PROVIDER NO |
| 01 (TX) | 85007X | SAN ANGELO BCBS PROV NO |
| 01 (TX) | 741796484 | TAX ID NO |
| 01 (TX) | 82Z040 | MEDICARE AUSTIN ID NUMBER |
| 01 (TX) | 85007X | BCBS SAN ANGELO ID NUMBER |
| 01 (TX) | 82Z040 | BCBS AUSTIN ID NUMBER |
Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.
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