NPI age
20 years
Enumerated 2006-03-03
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | K3065 | MEDICAL LICENSE |
| 05 (TX) | P081Y8470 |
Solo or small practice. No other active providers share this practice address in NPPES.
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