NPI age
14 years
Enumerated 2012-02-17
Across 3028 active surgery providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1A5080 | MEDICARE |
| 05 (TX) | 409723001 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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