NPI age
20 years
Enumerated 2005-11-08
Across 947 active neurological surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | B0010715 | DPS |
| 05 (TX) | 123640801 | |
| 01 (TX) | D9284 | STATE LICENSE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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