NPI age
19 years
Enumerated 2007-05-21
Across 67 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 184699101 | FIRSTCARE |
| 05 (TX) | 204376201 | |
| 01 (TX) | 8CB132 | BCBS TX PPO |
| 01 (TX) | P00808918 | RR MEDICARE |
| 05 (NM) | 00NM005X56 | |
| 05 (NY) | 22889696 | |
| 05 (NM) | 77884736 | |
| 05 (TX) | 204376202 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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