NPI age
20 years
Enumerated 2005-11-16
Across 3028 active surgery providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8BR115 | BCBS |
| 05 (TX) | 185966202 | |
| 05 (TX) | 185966203 |
Solo or small practice. No other active providers share this practice address in NPPES.
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