NPI age
19 years
Enumerated 2006-10-11
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 038597301 | |
| 01 (TX) | 880604 | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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