NPI age
19 years
Enumerated 2006-10-23
Across 128 active oral & maxillofacial surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 095081802 | |
| 01 (TX) | 7979112 | AETNA PIN |
| 05 (TX) | 104535302 | |
| 01 (TX) | 118704100 | FIRSTCARE PIN |
| 01 (TX) | 1210606 | FIRSTHEALTH PIN |
| 01 (TX) | 10028366 | AMERIGROUP PIN |
| 01 (TX) | 124156 | SUPERIOR PIN |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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