NPI age
14 years
Enumerated 2012-03-13
Across 1024 active otolaryngology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 0101251391 | LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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