NPI age
20 years
Enumerated 2005-06-15
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1488594 | AETNA |
| 01 (TX) | P00439527 | RR MEDICARE |
| 01 (TX) | 0057PA | BCBS |
| 01 (TX) | P00439527 | MEDICARE RR |
| 05 (TX) | 1919615 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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