NPI age
20 years
Enumerated 2005-08-29
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4086723 | BLUE CROSS BLUE SHIELD |
| 01 (TN) | 62089728905 | UHC RIVER VALLEY |
| 01 (KY) | 000000049993 | BLUEGRASS |
| 01 (TN) | 7689535 | AETNA |
| 05 (TN) | 3891058 | |
| 01 (KY) | 000000363275 | ANTHEM BLUE CROSS |
| 01 (TN) | 100045915 | PHP TENNCARE |
| 05 (KY) | 64098965 |
Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.
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