NPI age
19 years
Enumerated 2006-09-06
Across 947 active neurological surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AJ418 | BLUE CROSS BLUE SHIELD INDIVIDUAL NUMBER |
| 05 (TX) | 166114201 | |
| 05 (TX) | 165059001 | |
| 01 (TX) | L4342 | PHYSICIAN LICENSE |
| 01 (TX) | 0004QF | BCBS GROUP NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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