NPI age
19 years
Enumerated 2007-01-10
Across 3028 active surgery providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1726390 | |
| 01 (TX) | 0037MQ | BCBS GROUP (P.A.) NO. |
| 01 (TX) | 8S2450 | BLUE CROSS INDIVIDUAL NO. |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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