NPI age
19 years
Enumerated 2006-11-21
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 742630478 | CHAMPUS |
| 05 (TX) | 082977201 | |
| 01 | 86M432 | BCBS |
Part of a multi-provider practice. 74 other active providers share this practice address in NPPES.
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