NPI age
20 years
Enumerated 2006-03-17
Across 223 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0045HA | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 2606443 | AETNA |
| 05 (TX) | 1245557-05 | |
| 05 (TX) | 124555706 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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