NPI age
20 years
Enumerated 2006-01-26
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100845890B | |
| 05 (TX) | 201386401 | |
| 01 (TX) | 201386402 | CSHCN |
| 01 (TX) | 8BX924 | BCBS |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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