NPI age
13 years
Enumerated 2013-04-01
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8KC816 | BCBSTX- USGOT |
| 01 (TX) | 8KC815 | BCBSTX -WSA |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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