NPI age
20 years
Enumerated 2006-05-17
Across 358 active orthopaedic surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 161283001 | |
| 01 (TX) | 460494105 | TRICARE & CHAMPUS NUMBER |
| 01 (TX) | 0084KC | BCBS NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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