NPI age
20 years
Enumerated 2006-05-11
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 149566001 | |
| 01 (AR) | 82312 | AR BCBS |
| 01 (TX) | 0061MB | TX BCBS |
| 05 (TX) | 157029302 | |
| 01 (TX) | 8AJ746 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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