NPI age
19 years
Enumerated 2006-10-05
Across 223 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 043634702 | |
| 01 (TX) | J6786 | LICENSE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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