NPI age
20 years
Enumerated 2005-06-16
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 140063225 | |
| 01 (TX) | 180036494 | RAILROAD MEDICARE |
| 01 (TX) | 752821670 | TAX IDENTIFICATION |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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