NPI age
20 years
Enumerated 2006-03-20
Across 548 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4470780 | AETNA PIN |
| 01 (TX) | 0070LY | BLUE CROSS PROVIDER # |
| 01 (TX) | 3324976 | REDILINK BLUE # |
| 05 (TX) | 173185301 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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