NPI age
19 years
Enumerated 2006-08-31
Across 3028 active surgery providers in Texas.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | CN7004 | MEDICARE RAILROAD GROUP |
| 01 (TX) | 0087CG | BLUE CROSS GROUP NUMBER |
| 05 (TX) | Z000042F2 | |
| 01 (TX) | 00042F | MEDICARE GROUP PTAN |
| 05 (NM) | S0756 |
Multi-provider organization. 11 individual providers on file at this primary address.
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