NPI age
19 years
Enumerated 2007-03-21
Across 1194 active urology providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 163208501 | |
| 05 (TX) | 150283302 | |
| 01 (TX) | $$$$$$$$$ | SOCIAL SECURITY NUMBER |
| 01 (TX) | F2437 | LICENSE |
Multi-provider organization. 1 individual provider on file at this primary address.
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