NPI age
20 years
Enumerated 2006-01-18
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 820572 | MEDICARE ID |
| 05 (TX) | 096939607 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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