NPI age
19 years
Enumerated 2006-05-31
Across 58 active urology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 125672905 | |
| 05 (TX) | 125672906 | |
| 01 (TX) | 125672908 | MEDICAID CSN |
| 01 (TX) | 8M6730 | BCBS PROVIDER ID |
| 01 (TX) | 125672907 | MEDICAID CSN |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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