NPI age
19 years
Enumerated 2006-09-22
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 100425270A | |
| 05 (MO) | 205913908 | |
| 01 (KS) | 436730 | FIRSTGUARD |
| 01 (TX) | 8GD827 | BCBS |
| 05 (TX) | 339836404 | |
| 05 (TX) | 339836403 | |
| 01 (TX) | 8FB774 | BLUE CROSS BLUE SHIELD |
| 01 (MO) | 31519012 | BCBS KANSAS CITY |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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