NPI age
19 years
Enumerated 2006-11-30
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 020049107 | RAILROAD MEDICARE |
| 01 (MO) | 431560263006 | TRICARE |
| 05 (OK) | 200695820A | |
| 05 (MO) | 205327109 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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