NPI age
19 years
Enumerated 2007-05-02
Across 358 active orthopaedic surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 110848013 | MEDICARE PROVIDER PTAN |
| 05 (KS) | 200750660A |
Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.
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