NPI age
20 years
Enumerated 2005-08-09
Across 57 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NM) | P00323169 | MEDICARE ID |
| 05 (TX) | 117117504 (MDACC) | |
| 05 (AZ) | 708050 | |
| 01 (NM) | NM001H54 | BC BS OF NM |
| 05 (NM) | 85104272 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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