NPI age
18 years
Enumerated 2007-06-29
Across 1024 active otolaryngology providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00Z738 | MEDICARE GROUP PIN |
| 01 | 1295932549 | GROUP NPI # |
| 05 (KY) | 64071855 | |
| 01 (TX) | 198437901 | MEDICAID GRP PIN# |
| 01 (KY) | 38283 | LICENSE NUMBER |
| 01 (TX) | K4763 | TEXAS LICENSE |
| 05 (TX) | 198438701 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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