NPI age
19 years
Enumerated 2006-08-08
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 183771801 | |
| 01 (TX) | 8J0619 | MEDICARE PIN |
| 01 (TX) | M3745 | PHYSICIAN PERMIT |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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