NPI age
20 years
Enumerated 2005-07-29
Across 489 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 096412404 | |
| 01 (TX) | 5173755 | AETNA |
| 01 (TX) | 8W7600 | BCBS |
| 01 (TX) | 1914907 | UNITED HEALTHCARE |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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