NPI age
20 years
Enumerated 2006-01-10
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 138774816 | |
| 01 (TX) | 8CX686 | BCBS |
| 05 (TX) | 138774815 |
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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