NPI age
20 years
Enumerated 2005-10-13
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00RP09 | BLUE CROSS BLUE SHIELD |
| 01 | 4668718 | AETNA |
| 01 (TX) | MDG1804 | WORKERS COMP |
| 01 (TX) | 121302 | SUPERIOR HEALTH PLAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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