NPI age
20 years
Enumerated 2006-04-27
Across 947 active neurological surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 203611302 | |
| 01 (TX) | 281353702 | MEDICAID GROUP EP1 |
| 01 (TX) | 281353701 | MEDICAID GROUP TPI |
| 01 (TX) | 8Y9337 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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