NPI age
20 years
Enumerated 2006-05-03
Across 139 active ophthalmology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 128119807 | |
| 01 (TX) | 180043891 | RR MEDICARE GRP CJ5857 |
| 05 (TX) | 128119804 | |
| 01 (TX) | 5365042 | AETNA |
| 01 (TX) | 805833 | BCBS/GRP 00T587 |
| 05 (TX) | 128119806 | |
| 05 (OK) | 200052580A |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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