NPI age
20 years
Enumerated 2005-07-20
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115768701 | |
| 01 (TX) | 826081400 | R.R. MEDICARE |
| 01 (TX) | 80Y770 | B/C & B/S |
| 01 (TX) | 10029837 | AMERICAID |
| 01 (TX) | 4057670 | AETNA |
| 01 (TX) | 3614842002 | CIGNA |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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