NPI age
20 years
Enumerated 2005-08-11
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 86042Z | RENNAISANCE IPA |
| 01 | 741800693 | UNITED HEALTHCARE |
| 05 (TX) | 183307101 | |
| 01 | 8V1030 | BLUE CROSS |
| 05 (TX) | 038176601 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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