NPI age
20 years
Enumerated 2006-05-03
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 00QU99 | BCBS |
| 05 (TX) | 035523201 | |
| 01 | 4548502 | CIGNA |
| 01 | 4391495 | AETNA |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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