NPI age
20 years
Enumerated 2006-02-09
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8G2040 | BCBS INDIVIDUAL ID |
| 01 (TX) | 004362710 | AETNA |
| 01 (TX) | P00043687 | RR MEDICARE |
| 01 (OK) | 100110440A | OKLAHOMA MEDICAID |
| 05 (TX) | 032599502 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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