NPI age
19 years
Enumerated 2006-07-11
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5525396 | AETNA |
| 01 (TX) | 020051077 | MEDICARE RAILROAD |
| 05 (TX) | P000279L4 | |
| 01 (TX) | 0019EN | BCBS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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