NPI age
19 years
Enumerated 2006-06-25
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 36EU | BLUE CROSS/BLUE SHIELD ID |
| 05 (TX) | 123366008 | |
| 01 (TX) | 123366009 | MEDICAID OTHER |
| 05 (TX) | 123366010 |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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