NPI age
19 years
Enumerated 2006-10-27
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 163901503 | |
| 05 (TX) | 163901502 | |
| 01 (TX) | 8AJ752 | BCBS |
| 01 (TX) | TXB109453 | MEDICARE |
| 01 (TX) | P00221107 | RAILROAD |
| 01 (TX) | P00911268 | RAILROAD MEDICARE |
| 05 (TX) | 163901505 | |
| 05 (TX) | 163901504 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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