NPI age
20 years
Enumerated 2005-07-13
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 760281931 | TAX IDENTIFICATION NUMBER |
| 01 (TX) | 82376Z | BLUE CROSS BLUE SHIELD |
| 01 (TX) | F1071 | TX LICENSE NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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