NPI age
17 years
Enumerated 2009-03-25
Across 49 active specialist/technologist, pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1066 | ORTHOPAEDIC PHYSICIAN ASSISTANT CERTIFIED |
| 01 (TX) | 1066 | OPA-C TEXAS CERTIFICATE # 1066 |
Part of a multi-provider practice. 54 other active providers share this practice address in NPPES.
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