NPI age
20 years
Enumerated 2006-01-05
Across 947 active neurological surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115850304 | |
| 01 (TX) | 00R76J | BC/BS PROVIDER NUMBER |
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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