NPI age
20 years
Enumerated 2005-12-14
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0047JG | BCBS IND # |
| 01 (TX) | 040017501 | RAILROAD MC |
| 05 (TX) | 153978501 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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