NPI age
19 years
Enumerated 2007-02-03
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 352448002 | |
| 01 (PA) | MD446907 | PENNSYLVANIA LICENSE |
| 05 (TX) | 352448001 | |
| 05 (NM) | 16452577 | |
| 05 (OK) | 200613580 A |
Part of a multi-provider practice. 475 other active providers share this practice address in NPPES.
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