NPI age
19 years
Enumerated 2006-07-08
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165952602 | |
| 01 (TX) | 8BR114 | BCBS |
| 01 (TX) | 8M3095 | BCBS |
| 05 (TX) | 165948402 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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