NPI age
19 years
Enumerated 2006-06-16
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GG890 | BCBS |
| 01 (CT) | P3459244 | OXFORD |
| 05 (CT) | 1422641 | |
| 01 (NY) | 2671896 | NYS MEDICAID |
| 05 (TX) | 365246301 | |
| 01 (CT) | 2414856 | UNITED HEALTHCARE |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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