NPI age
19 years
Enumerated 2006-07-10
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8C8812 | MEDICARE INDIVIDUAL NUMBE |
| 01 (TX) | 0034LN | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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