NPI age
19 years
Enumerated 2007-01-23
Across 489 active surgery providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | 8P149 | BC AR |
| 01 (TX) | 0035MH | BC TX |
| 01 (TX) | 030800221800 | QUALCHOICE |
| 05 (AR) | 15668002 | |
| 01 (TX) | DD1753 | RR MEDICARE |
Multi-provider organization. 6 individual providers on file at this primary address.
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