NPI age
19 years
Enumerated 2006-11-01
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122021206 | |
| 01 (TX) | 8F7562 | MEDICARE ID - TYPE UNSPECIFIED |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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