NPI age
20 years
Enumerated 2006-04-19
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 887932 | BC/BS TX# |
| 05 (TX) | 124646404 | |
| 01 (TX) | 020019506 | RAILROAD GBA - RAILROAD MEDICARE |
| 01 (TX) | MDE5292TX | WORKERS COMPENSATION |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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