NPI age
19 years
Enumerated 2007-04-23
Across 3028 active surgery providers in Texas.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DE2116 | RAILROAD |
| 01 (TX) | 0052QP | BCBS |
| 05 (TX) | 175076201 |
Multi-provider organization. 13 individual providers on file at this primary address.
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