An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #J3856taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (TX)
00L19H
BLUE CROSS/BLUE SHIELD
05 (TX)
034546401
01 (TX)
859955
UNITED CONCORDIA
01 (TX)
G60231
CHIPS
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
East Texas Facial and Oral Surgery Center
Type code 5recorded 2008-05-14
Practice context
Single-site organization. Only one practice location on file.
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