NPI age
20 years
Enumerated 2005-06-21
Across 1194 active urology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1922536 | |
| 01 (LA) | 340015853 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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