NPI age
20 years
Enumerated 2005-11-02
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 126188501 | |
| 01 (TX) | 4365757 | AETNA |
| 01 (TX) | 84K502 | BCBS |
| 01 (IL) | 214881 | GROUP MEDICARE PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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