NPI age
19 years
Enumerated 2006-12-06
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 743096091 | TAX ID |
| 05 (TX) | 151373102 | |
| 01 (TX) | P00410985 | RAILROAD MEDICARE |
| 01 (TX) | 8U5905 | BLUE CROSS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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