NPI age
20 years
Enumerated 2005-11-10
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CB205 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 6362570001 | MEDICARE NSC |
| 01 (TX) | 149890903 | MEDICAID |
| 01 (TX) | P00017885 | MEDICARE - RAILROAD |
| 01 (TX) | 8F22500 | MEDICARE |
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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