NPI age
13 years
Enumerated 2012-08-02
Across 548 active surgery providers in Texas.
16 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 10149037 | DPS |
| 01 | M4387 | LICENSE |
Multi-provider organization. 16 individual providers on file at this primary address.
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