NPI age
20 years
Enumerated 2005-06-22
Across 109 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 2989737 | AETNA HMO |
| 01 (TX) | 8G9740 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 139804223 | |
| 01 (TX) | 760505966 | TAX ID |
| 05 (TX) | 139804221 | |
| 05 (TX) | 139804224 | |
| 05 (TX) | 139804222 | |
| 05 (TX) | 139804225 | |
| 01 (TX) | 4654875 | AETNA PPO |
| 01 (TX) | G8817 | STATE LICENSE |
| 01 (TX) | 34291 | AMERIGROUP |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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