NPI age
14 years
Enumerated 2011-06-16
Across 223 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200806150A | |
| 05 (TX) | 340907004 | |
| 05 (NM) | 74753045 | |
| 05 (TX) | 340907003 |
Solo or small practice. No other active providers share this practice address in NPPES.
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